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25例小肠侧侧吻合综合征分析

Side-to-side intestinal anastomosis syndrome:an analysis of twenty five patients
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摘要 作者报告了25例小肠侧侧吻合综合征.其中7例在来该院之前已有4次以上手术史,15例有3次手术史,3例2次手术史。14例患者曾做过肠切除手术。25例中13例是回肠横结肠侧侧吻合,5例是小肠之间的侧侧吻合,4例为空肠降结肠侧侧吻合,3例兼有小肠结肠侧侧吻合和小肠之间的侧侧吻合。25例患者临床上表现为不同程度的腹痛、腹泻、消瘦、肝功能损害。依据手术史、临床症状及钡剂造影均可诊断。经支持治疗后手术去除盲袢,症状可解除,营养得到改善。 Twenty five patients with side-to-side intestinal anastomosis syndrome were reported in this study.A- mong which,7 patients had been operated more than 4 times before being transferred to our hospital,15 pa- tients had accepted 3 operations and 3 had twice.14 pa- tients had undergone enterectomy,side-to-side ileo- colostomy were performed in 13 patients.Side-to-side enteroenterostomy in 5,side-to-side anastomosis between jejunum and descending colon in 4,side-to-side entero- colostomy with side-to-side enteroenterostomy in remain- ing 3.All the patients presented clinically with different degree of abdominal pain,diarrhea,lose of body weight and impairment of liver function.Diagnosis was based on the history of operation,the clinical symptom and the barium radiography.The patient's symptoms disap- peared and nutrition was improved after supporting treatment fol- lowed by correcting surgery.
出处 《普外临床》 CSCD 1995年第5期302-304,297,共4页
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