小肠大量切除保留回盲瓣的意义

Clinical significance of preserving the ileocecal in patients after small bowel resection of a large number

目的探讨大量小肠切除后,保留回肠末端回盲瓣的意义。方法回顾分析我院1995年以来13例大量小肠切除后,仅能保留10 cm以内回肠末端的患者的临床资料。结果全组均未出现明显短肠综合征表现。结论对于肠绞窄、外伤、肿瘤等原因导致切除大量病变肠管后,保留回盲瓣对于预防短肠综合征有重要临床意义,保留回盲瓣对于营养物质在小肠内的吸收、防止结肠内细菌向小肠迁移寄生有其生理意义。

Objective To investigate the significance of preserving the ileocecal in patients after Small bowel resection of a large number.Methods 13 patients with a large number of small bowel resection who can only be retained within 10cm terminal ileum were retrospectively analyzed.Results There was no short bowel syndrome manifestation in all groups.Conclusion For quads and narrow,trauma,tumor resection of a large number of such as causes of the intestinal tract,retain the lesions ileocecal valve for the prevention of short bowel syndrome have important clinical significance.There have the physiological significance of retain the ileocecal valve for nutrients in the intestinal absorption and prevent colon intestinal bacteria to migrate the parasitic.