摘要
将１５只日本家兔结扎升结肠造成肠梗阻模型。测定梗阻前后小肠灌注压及回盲部反流压，并按三种术式：侧侧、双Ｔ，平行双丁吻合分组，行回结肠捷径术，术后测定分流压。结果表明：结肠梗阻后，小肠灌注压升高。回盲部反流压降低，侧侧及双Ｔ吻合均有可能发生吻合口远端肠内容淤滞，出现“盲袢”现象。平行双丁吻合效果较好，提示对不能解除的回肠未段或升结肠梗阻可选用这一术式。
Intestinal obstruction by ligation of the ascending colon was performed in 15rabbits.Before and after ligation,the ileum flowing pressure and the ilelcaecal reflux pressurewere measured.The rabbits were then divided into three groups according to the types ofanamostomosis between the ileum and transverse colon: side to sid0,end to side (double T)and double end to side (double parallel J).When the bypass operation was completed, theintestinal flowIng pressure(dividing flowing pressure)were measured.The result showed that theintestinal flowing pressure were increased but the ileocaecal reflux pressure were decreased afterthe obstruction of the colon,On the other hand much intesinal contents were detained in theside to side and,double T anamostomosis groups(blind segment syndrome).The conditions ofthe parallee double J anamostomosis group were better than those ofthe other two groups .Theresult showed that the parallee double J anamostomosis can be used in the case ofunresectablecolon or lower ileum obstruction.
出处
《广西医科大学学报》
CAS
1996年第1期35-38,共4页
Journal of Guangxi Medical University
关键词
结肠埂阻
肠道动力学
回肠捷径术
colon obstruction
intestinal dvnamicsi ileocolon bypass
