先天性内源性十二指肠梗阻的手术治疗(附35例报告)

THE OPERATIVE TREATMENT OF CONGENITAL INTRINSIC DUODENAL OBSTRUCTION (A REPORT OF 35 CASES)

为探讨内源性先天世十二指肠梗阻手术治疗方法，回顾世分析了万例患儿的临床资料。35例均经手术治疗，十二指肠十二指肠菱形吻合本（简称菱形吻合术）10例，十二指肠十二指肠侧侧吻合3例，经十二指肠前壁切开隔膜切除纵切横缝术8例，结肠后十二指肠空肠侧例吻合术12例，十二指肠十二指肠端端吻合术2例。结果手术死亡2例．治愈率94．2％。提示对内源性十二指肠梗阻的手术以"菱形吻合本"及"经十二指肠前壁切开隔膜切除纵切横缝术"较理想。

To investigate the operative beabo of conital intrinsic dnd obstruction, the clihicaldata w analysed rearepectively. The operative treors included diamond shaped duodenoduodenostomy in 10,side - to - side duodenoduodenostomy in 3, duodenotomy and web excision in 8, side - to - side duodenojejunos-tomy in 12 and end - to - end duodenoduodenostomy in 2. Of 35, tow Paients died and operative sewival was 94.2%. The result suggests that in the operative treatments of congnital intrinsic dthel obstruction, diamondshaped duodenoduodenostomy and duodenotomy and web excision are superior to any other opernions.