肠系膜上动脉综合征手术疗效的分析

本文报告了我科30年来收治的肠系膜上动脉综合征39例,并就经手术证实及治疗的21例进行了分析。21例中共施行22次手术。全部病例得到随诊,最短者1年,最长者28年,14例超过10年,结果优者12例(57.1％),良好者7例(33.3％),尚好者2例(9.6％)。本文提示应根据具体病人情况选择术式。就本组结果看,十二指肠空肠吻合术的结果较好且易行。

Analysis of the results of surgical treatment of superior mesenteric artery syndrome

Among 39 cases of superior mesenteric artery syndrome, 21 operated cases were analysed. Ten were male and 11 female,ranging from 12 to 65 years old. Onset of the disease was acute in 6 and chronic in 15 patients. The most common site of duodenal compression was in the transverse portion(15 cases, 71.4%), 3 in the descending portion, 2 at the junction between the transverse and ascending portions and 1 at the junction between the descending and transverse portions. Twenty-two operations were performed in 21 patients,including duodenojejunosto-my (12) , gastrectomy of different modes of anastomoses (6) , gastrojejuno-atomy (3) and simple division of treitz ligament in one case but with failure. There was no operative mortality and morbidity.All patients were followed up from one to 28 years. The results were excellent in 12 (57.1%) , good in 7 (33.3%) and fair in 2 (9.6%) .It is mandatory to choose an appropriate pro- cedure for each individual patient.According to the results of long term follow-up in this series, duodenojejunostomy seems to give more promising result than other procedures.