胃肠功能因素对骨科患者肠系膜上动脉综合征的影响

目的：探讨肠系膜上动脉综合征的发生机理，分析胃肠功能因素在该综合征中的作用。方法：联系骨科临床中常见的腹胀、便秘(胃肠功能紊乱)，观察19例非脊柱矫形病人发生的系膜上动脉综合征的发生、发展、治疗，分析其共同规律并研究其发生机理。结果：所有病例均发生于入院或术后1～2周，痊愈后无复发，此综合征因医疗干预时期不同及胃肠功能恢复速度不同而所需痊愈时间不同。结论：胃肠功能因素在系膜上动脉综合征的发生中起重要作用。该综合征是局部解剖因素及胃肠功能因素共同作用，并使胃肠通过功能进入恶性循环的结果，其治疗即是及时阻断此恶性循环，一般并不需手术治疗。

Influence of gastro intestinal function on superior mesenteric artery syndrome

Objective:To analyze the influence of gastro intestinal(GI) function on superior artery syndrome(SMAS).Method: Cases of 19 none-spinoplasty patients were analyzed retrospectively.The postoperative complications of GI dysfunction (such as abdominal disteution and constipation) were observed,The occurrence,development and treatment of SMAS were also noticed.The relationship between GI and SMAS was analyzed to find the etiological reason.Result:SMAS occurrence of all 19 cases were found 1~2 weeks postoperatively,and no reoccurrence was observed after their recovery.The complete recovery time obviously depended on the medical treatment time and the recovery period of GI.Conclusion: GI factor can play an important role on the recovery of SMAS.The SMAS is caused by both anatomical factor and GI factor,afterwards the GI function then leads to a vicious cycle.Therefore the vicious cycle should be stopped to treat SMAS.Surgical operation is not needed.