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改良间置空肠术在难治性十二指肠溃疡手术中的应用
Improved Placement of Jejunal Segment of Treatment of Obstinate Duodenal Ulcer: Clinical Report of 33 Cases
【摘要】 采用改进的间置空肠术处理难治性十二指肠溃疡 ,使手术简化、安全可靠。方法在残胃与十二指肠残端之间置一段长 18~2 0cm的近段空肠袢 ,与此同时将手术的程序改为Birollthe Ⅰ式。结果本组 33例恢复顺利 ,无并发症。结论此法可应用于所有难治性十二指肠球部溃疡 ,并易于推广。
【Abstract】 ObjectiveTo develop an improved method for the placement of jejunal segment between residuary stomach and duodenum in treating obstinate duodenal ulcer.It aimed at simplifying the operation and increasing its safety.MethodsA 18~20 cm proximal segment of jejunal loop was placed between residuary stomach and remnant duodenum.At the same time,the operation procedure was changed to Birollthe′s Ⅰ type.ResultsThirty-three cases subjected to operation recovered smoothly without complication.ConclusionsThis method can be used for treatment of obstinate ulcer on bulbar duodenum and be easily propagated. [
【Key words】 duodenal ulcer/surg; peptic ulcer hemorrhage/surg; jejunum/surg;
- 【文献出处】 湖南医学 ,HUNAN MEDICAL JOURNAL , 编辑部邮箱 ,2000年03期
- 【分类号】R656.6
- 【下载频次】16