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[大鼠局灶性腹膜炎诱导后左结肠吻合口的演变]

[Evolution of left colon anastomosis after focal peritonitis induction in rats].

作者信息

Biondo-Simões M de L, Adur R C, de La Quintana L F, Gonçalves C A, Demarchi H L, Mello A L, Vaz L I, Repka J C

机构信息

Faculdade Evangélica de Medicina do Paraná. (FEMPAR), Curitiba, PR.

出版信息

Arq Gastroenterol. 1996 Apr-Jun;33(2):79-85.

PMID:9109973
Abstract

In order to know the left colon anastomosis evolution with perforation and focus peritonitis, 40 male rats, Wistar-TECPAR, 135 days old and weighing 345 g in average were divided in two groups of 20 animals each. Group A was the control group and group B the experimental group. Submitted to a laparotomy, the B rats had a left colon wound 0.3 cm in diameter, 1.5 cm in distance from the peritoneal reflection. The A rats had only a intestinal handling. All rats had a new laparotomy after 24 hours; a resection and end-to-end anastomosis. An analysis was made on third and seventh days of the macro and microscopic evolution and bursting pressure. On the second laparotomy, in the B rats, peritonitis was absent and only local reaction was present. Dehiscence, fistula or peritonitis were absent at the observation on the third and seventh days. The anastomosis evolution was similar in the two groups. It was concluded that the focus peritonitis was not sufficient to modify the healing process of the left colon anastomosis in rats during the period studied.

摘要

为了解伴有穿孔和局限性腹膜炎时左半结肠吻合口的演变情况,将40只135日龄、平均体重345克的雄性Wistar-TECPAR大鼠分为两组,每组20只。A组为对照组,B组为实验组。B组大鼠接受剖腹手术后,在距腹膜反折1.5厘米处造成直径0.3厘米的左半结肠伤口。A组大鼠仅进行肠道处理。所有大鼠在24小时后再次接受剖腹手术;进行切除并端端吻合。在术后第三天和第七天对大体和微观演变以及破裂压力进行分析。在第二次剖腹手术时,B组大鼠未出现腹膜炎,仅存在局部反应。在第三天和第七天的观察中未发现吻合口裂开、瘘管或腹膜炎。两组的吻合口演变情况相似。得出的结论是,在所研究的时期内,局限性腹膜炎不足以改变大鼠左半结肠吻合口的愈合过程。

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