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[儿童腹腔粘连的预防、诊断及外科治疗]

[Prophylaxis, diagnosis and surgical treatment of adhesions in the abdominal cavity of children].

作者信息

Ivanova M N, Konovalov A K, Sergeev A V, Pen'kov L I

出版信息

Khirurgiia (Mosk). 1996(4):67-9.

PMID:8926673
Abstract

The clinical and experimental study of postoperative complications of suppurative peritonitis (the pathologic commissure formation) has been done. The authors believe that the combination of the break of cytodynamic correlation in peritonitis centre and GIT paresis is a basis of pathogenesis of the process. The authors advocate combination of anticomissural preventive stern with cytomodulation and GIT paresis treatment. The abdominal ultrasonography has been used for the diagnosis. The main role in surgical treatment belongs to laparoscopy that made it possible to decrease the amount of relaparotomy cases. There were no lethal complications or cases of recurrency.

摘要

已开展了关于化脓性腹膜炎术后并发症(病理性粘连形成)的临床及实验研究。作者认为,腹膜炎中心细胞动力学关联的破坏与胃肠道麻痹相结合是该病程发病机制的基础。作者主张将抗粘连预防性手术与细胞调节及胃肠道麻痹治疗相结合。已采用腹部超声进行诊断。手术治疗中腹腔镜发挥了主要作用,这使得再次剖腹手术的病例数量得以减少。未出现致命并发症或复发病例。

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