论文部分内容阅读
目的 探讨各类型肠闭锁、肠狭窄的适用手术方式 ,并对疗效提高的原因进行分析。方法 总结我院近 2 0年经手术治疗的 6 6例先天性肠闭锁、肠狭窄患者的临床资料。结果 总治愈率为 77.2 7% ,其中前 1 0年治愈率为 6 7.4 4 % ,后 1 0年治愈率为 95 .6 5 % ,疗效有极明显提高。结论 ①十二指肠及空肠近端膜式闭锁或狭窄应首选隔膜切除、肠管纵切横缝术 ;②十二指肠闭锁 (除膜式闭锁 )及环状胰腺应首选十二指肠 十二指肠菱形吻合术 ;③小肠、结肠闭锁 (除膜式闭锁 )应优先选择近端扩张肠管切除、端背吻合术。TPN的广泛应用、围手术期的综合管理、合理手术方式的选择及手术材料的改进对疗效的提高起到了明显作用
Objective To explore the suitable surgical methods for various types of intestinal atresia and intestinal stenosis, and to analyze the reasons for the increased efficacy. Methods The clinical data of 66 patients with congenital intestinal obstruction and intestinal stenosis who underwent surgery in our hospital in recent 20 years were summarized. Results The total cure rate was 77.2 7%, of which the former 10 years the cure rate was 6 7.4 4%, after 10 years the cure rate was 95.65%, the effect was significantly improved. Conclusion ① proximal duodenum and jejunal membrane atresia or stenosis should be the preferred choice of diaphragm, transverse incision of the intestine; ② duodenal atresia (removal of membrane atresia) and the annular pancreas should be preferred duodenum ten Otolaryngeal anastomosis; ③ small intestine, colon atresia (except membrane occlusion) should be preferred to proximal dilatation bowel resection, dorso-anastomosis. The wide application of TPN, perioperative management, the choice of reasonable surgical methods and the improvement of surgical materials have a significant effect on the improvement