摘要
【目的】探讨回肠末端吻合口瘘的原因和防治方法。【方法】回顾性分析80例绞窄性肠梗阻病人肠管切除术后的临床效果。【结果】行回-回肠吻合组40例,肠瘘20例,其中8例死亡;20例恢复健康。行回-结肠吻合组40例全部恢复健康。【结论】距回盲瓣10-15cm范围内的回肠末端绞窄坏死的处理与其他部位小肠坏死比较,有其特殊性,处理须充分考虑解剖位置和局部血运,采取慎重态度。
[Objective]To find out the causes of fistulae of anastomosed distal ileum and the methods of prevention and treatment. [Methods]Eighty cases with strangulated obstruction were studied. Ileoileostomy (40 cases) and ileotransversostomy(40cases) were applied. [Results]There were 20 cases with intestinal leakage and 8 cases died, while the rest 32 cases recovered in the ileoileostomy group. All 40 cases in the ileotransversostomy group recovered. [Conclusion]We must be careful to handle the strangulated ileum obstruction at the distal 10-15 cm segment.
出处
《医学临床研究》
CAS
2006年第5期730-732,共3页
Journal of Clinical Research
关键词
肠梗阻/外科学
肠瘘/病因学
手术手并发症/病因学
吻合术
外科/副作用
intestinal obstruction/surgery
intestinal fistula/etiology
postoperative complications/ etiology
anastomosis,surgical/adverse effects