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保留回盲瓣末段回肠超短距离吻合的临床应用
引用本文:郑明华,翟超,肖栋,陈亮,梁明,张亦磊,相建国,李煜庆,刘晓晨.保留回盲瓣末段回肠超短距离吻合的临床应用[J].腹部外科,2014,27(1):44-46.
作者姓名:郑明华  翟超  肖栋  陈亮  梁明  张亦磊  相建国  李煜庆  刘晓晨
作者单位:郑明华(三二〇一医院普外科,陕西汉中,723000);翟超(三二〇一医院普外科,陕西汉中,723000);肖栋(三二〇一医院普外科,陕西汉中,723000);陈亮(三二〇一医院普外科,陕西汉中,723000);梁明(三二〇一医院普外科,陕西汉中,723000);张亦磊(三二〇一医院普外科,陕西汉中,723000);相建国(三二〇一医院普外科,陕西汉中,723000);李煜庆(三二〇一医院普外科,陕西汉中,723000);刘晓晨(三二〇一医院普外科,陕西汉中,723000);
摘    要:目的 探讨保留回盲瓣在末端回肠超短距离吻合术中的安全性及可行性.方法 对2009年1月至2012年11月间6例保留回盲瓣末段回肠超短距离吻合的手术病例进行回顾性分析.结果 本组6例患者均痊愈,其中1例患者(肠系膜上静脉血栓形成)术后发生吻合口漏,经保守治疗后痊愈.结论 术中谨慎操作,保证末端回肠的血供及充分的回肠、结肠减压,术后积极抗感染、抑制肠液分泌及营养支持治疗,行保留回盲瓣的末端回肠超短距离吻合是安全可行的.

关 键 词:回肠疾病  回盲瓣  回肠超短距离吻合

Clinical application of short ileum anastomosis of reserved ileocolic valve
Zheng Minghua,Zhai Chao,Xiao Dong,Chen Liang,Liang Ming,Zhang Yilei,Xiang J ianguo,Li Yuqing,Liu Xiaochen.Clinical application of short ileum anastomosis of reserved ileocolic valve[J].Journal of Abdominal Surgery,2014,27(1):44-46.
Authors:Zheng Minghua  Zhai Chao  Xiao Dong  Chen Liang  Liang Ming  Zhang Yilei  Xiang J ianguo  Li Yuqing  Liu Xiaochen
Institution:( Department of General Surgery, No. 3201 Hospital, Hanzhong 723000, China)
Abstract:Objective To explore the safety and feasibility of short ileum anastomosis of re- served ileocolic valve. Methods Retrospective analyses were performed for 6 cases of short ileum anas- tomosis of reserved ileoeolic valve from January 2009 to November 2012. Results Recovery was une- ventful in 6 cases except for mesenterie vein thrombosis (n = 1). Conclusions Providing adequate blood supply for ileum terminus and taking vigorous supporting measures may ensure the safety and efficacy for short ileum anastomosis of reserved ileocolic valve.
Keywords:Ileal diseases  Ileoeeeal valve  Short ileum anastomosis
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