【摘要】 目的:探讨胃大部切除术后发生输入攀梗阻的原因及预防。方法:对胃大部切除术后发生输入攀梗阻的手术情况36例进行回顾性分析。结果:残胃过短,术式选择不当;吻合口处空肠翻入太多;输入空肠长度留置欠妥;输入空肠段内疝是形成术后发生输入攀梗阻的主要原因。结论:根据患者不同情况选择正确术式、留置适当长度的输入段空肠、注意手术细节性操作是预防胃大部切除术后发生输入攀梗阻的主要措施。更多还原

【Abstract】 Objective:To investigate the reason and prevention of the afferent loop obstruction following subtotal gastrectomy.Methods:36 cases with afferent loop obstruction following subtotal gastrectomy were analyzed by retrospective study.Results:The reason of afferent loop obstruction following subtotal gastrectomy includes Gastric remnant too short,unsuitable operation,the jejunum too much turn over in stoma,the length of afferent jejunum improper and the entocele of afferent jejunum.Conclusions:The principal approach to avoid the complication must be attention the details in operation,remain enough jejunum and make a proper operation.更多还原