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结核性粘连性肠梗阻的手术疗法及疗效观察

SURGICAL TREATMENT AND OBSERVATION ON THE THERAPUTIC RESULTS OF 11 CASES TUBERCULOUS ADHERENT INTESTINAL OBSTRUCTION

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【作者】 余云; 李兴洲; 张铭琏; 徐凤桐; 夏振龙; 王之章;

【Author】 Yu Yun, et al (Department of Surgery, The 2nd and 3rd Affiliated Hospital)

【机构】 中国医科大学附属第二、三医院外科; 中国医科大学附属第二、三医院病理科;

【摘要】 本文报告11例用纤维板剥脱加病灶清除术治疗结核性粘连性肠梗阻,全组无死亡及肠瘘并发,随访七年以上者9例、近远期疗效均较满意。文内介绍了手术适应症及操作要点;并对本术式的疗效和优越性进行讨论。

【Abstract】 This paper reports with tuberculous adherent intestinal obstruction treated by means of exfoliating and resecting of fibrous plate and tuberculous focus curettage.All cases were females with an age range of 22 to 44 years.The diagnosis was confirmed by operation and biopsy. 8 of them were complete obstruction and uncomplete in 3.5 cases were strangulatcd by fibrous band. Bowel necrosis occured in 3.A thorough exfoliating and resecting of fibrous plate were carried out in all cases, associated with enterectomy on 2 cases and ileocecutomy on one, no mortality and fistula formation occured in this series No obstructive signs of recurrence were noticed during follow-up from 1.5 to 7 years in 8 cases Weight gained about 10-15kg. postoperatively.

  • 【文献出处】 中国医科大学学报 ,Journal of China Medical University , 编辑部邮箱 ,1989年S1期
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