肠系膜上动脉综合征的术式选择

Selection of operative procdures in the patients with superior mesenteric artery syndrome

目的 总结手术治疗肠系膜上动脉综合征的经验。方法 对近 10年手术治疗的 11例肠系膜上动脉综合征患者的病因、诊断、术前准备和手术方式进行回顾性分析。结果 11例患者共施行手术 12次。行 Treitz韧带松解 1例 ,Billroth 式胃大部切除、十二指肠空肠侧侧吻合 3例 ,十二指肠空肠 Roux- Y吻合 4例 (其中 1例为胃空肠吻合术后再手术 ) ,十二指肠环形引流术 1例。全部病人随访均痊愈。

Objective To summary the experience of 11 cases which have accepted surgical operation for superior mesenteric artery syndrome in recent 10 years.Methods The etiology,diagnosis,preoperative preparations and operative procedures were retrospectively analyzed.Results 12 operations were performed in 11 patients including Treitz's ligament lysis in 1;Billroth Ⅱ partial gastrectomy in 2;duodenojejunal side to side anastomosis in 3;duodenojejunal Roux Y anastomosis in 4,one of them accepted reoperation after gastrojejunostomy;duodenojejuno gastric circinate anastomosis in 1.Following up showed all patients were cured.Conclusion Duodenojejunostomy is a simple and effective procedure for the surgical management of superior mesenteric artery syndrome. [