Honma T
Department of Surgery, National Children's Hospital, Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 1997 Dec;98(12):1018-22.
During the period between 1946 and 1996, 59 patients of intrinsic duodenal obstruction and 67 of intrinsic jejunoileal obstruction were treated in our institute. Analysis of data obtained from the patients revealed that the duodenal obstruction was the most successfully treated by diamond-shaped duodenoduodenostomy, jejunal obstruction by resection of the dilated oral blind end, tapering jejunoplasty and ileal obstruction by resection of the dilated blind end and anastomosis or ileostomy in case with peritonitis. Associated anomalies in duodenal obstruction, anastomotic malfunction and postoperative short bowel syndrome in jejunal obstruction and complicated peritonitis in ileal obstruction were the most effective as prognostic factors.
1946年至1996年期间,我院共治疗了59例原发性十二指肠梗阻患者和67例原发性空肠回肠梗阻患者。对这些患者的数据进行分析后发现,十二指肠梗阻最成功的治疗方法是菱形十二指肠十二指肠吻合术,空肠梗阻是切除扩张的近端盲端、空肠成形术,回肠梗阻则是切除扩张的盲端并进行吻合,若发生腹膜炎则行回肠造口术。十二指肠梗阻的相关畸形、空肠梗阻的吻合口功能障碍和术后短肠综合征以及回肠梗阻的复杂性腹膜炎是最有效的预后因素。