【摘要】 观察单层缝合在小儿胃肠吻合术中应用的可靠性,对34例患儿,42个吻合口,进行单层间断缝合肠吻合术。缝合在浆膜面进行,穿肌层和粘膜下层出针,然后在另一端肠端的粘膜下层进针,穿肌层和浆膜出针,打结,不缝粘膜层。结果显示,全组无吻合口漏和狭窄,术后1天排气排便,3天进食。该方法对小儿安全可靠,与双层吻合比较具有吻合口大,肠壁各层组织对合准确,损伤小和肠功能恢复快等优点。更多还原

【Abstract】 To evaluate a single - layer closure for gastrointestinal anastomosis in children, study was carried out on 34 patients 42 anastomoses with single - layer closure for gastrointestinal anastomosis. The patients ages were arranged from five months to 13 years, average 3.8 years. The suture was introduced in through the serosa, muscle and submucosa, then taken out and reintroduced into the other end of the intestine wall through the submucosa, muscle and serosa, without penetrating the mucosa.The result showed that there were no anastomotic leak and stenosis in our series. The patients passed flatus and stool and tolerated food earlier. The result suggests that single-layer anastomosis is a safe and reliable technique for gastrointestinal closure in children.更多还原