| 陈甲森.带血管蒂肠浆肌层环贴术防治肠瘘.[J].中南医学科学杂志.,1986,(2):. |
| 带血管蒂肠浆肌层环贴术防治肠瘘 |
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| DOI： |
| 中文关键词: 带血管蒂,肠浆肌层,肠瘘,环贴术 |
| 英文关键词:intestinal,serosa-muscle,layer,intestinal,fistula,anastomosis |
| 基金项目: |
| 陈甲森 |
| 衡阳医学院第二附属医院外科 |
| 摘要点击次数: 590 |
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| 中文摘要: |
| 本文报导用带蒂血管肠浆肌层环贴术防治各种复杂肠瘘,经过十一年的临床观察,疗效满意。本文还着重介绍了手术方法及操作过程中应注意的问题。 |
| 英文摘要: |
| An operative procedure has been designed for the treatment of intestinal necrosis or fistula. After the resection of the intestine with pathology, a section of the adjacent healthy intestine with good mesenteric blood supply is utilised. This section of intestine is cut open on the side opposite to the entry of mesenteric vessels, and the mucus layer is stripped off. After rejoining the continuity of the intestine, the serosa-muscle layer with vascular pedicle is circularly applied to the anastomotic wound, and sewed up. The advantages of this procedure include: (1)intestinal anastomosis is strengthed: (2)the wound heals better because of better blood supply; (3)the intestinal serosa-muscle layer can be taken obliquely or transversely according to the size of the anastomotic wound, so that the wound can be covered entirely. Four patients with complex intestinal fistula after anastomosis were treated by this method and the results were satisfactory. |
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