食管、贲门切除术中附加幽门气囊扩张预防术后早期胃潴留  

The Study for Prevention Early Gastric Retention in Esophagrs and Cardia Excision by Additive Air pocketing Pylorodiosis

作　　者：何茂远 郭洪山[1] 刘海涛[1] 黄奔[1] 孙昌军[1] 王善政[2] 

机构地区：[1]单县中心医院,274300 [2]山东医科大学附属医院

出　　处：《山东医药》2000年第2期13-14,共2页Shandong Medical Journal

摘　　要：设计并进行了食管、贲门切除术中应用耐压气囊行幽门扩张的实验和临床研究。结果表明,此法将幽门环形肌纤维拉长,幽门内径增大,减少了胃排空时阻力,有效防止了术后早期胃潴留;且扩张造成的肌纤维损伤能逐渐修复,使幽门功能得到保存。对幽门扩张内径进行了讨论。认为幽门扩张法简便易行,安全可靠,值得推广。To dilate pylorus in the operation of esophageal and cardia excision,pressure airpocket was designed and used in test and clinical study The result indicated that the sphincter muscle fibers of pylorus became longer,the internal diameter of pylorus became larger,the resistance of gastric evacuation was reduced and the premature gastric retention was effectively prevented in early postoperation After operation,the dilated sphincter muscle fibers of pylorus repairing gradually and the pyloric function was protected It also discussed the suitable dilating internal diameter of pylorus and believe that air pocketing pylorodiosis is a simple safety reliable measure and is worth popularizing

关 键 词：食管贲门切除术 功能性 胃潴留 幽门气囊扩张 

分 类 号：R656.610.6[医药卫生—外科学]