肠系膜上动脉综合征2种手术方式选择的评价  

Evaluation of two operative modalities for superior mesenteric artery compressing syndrome

作　　者：杨晓波[1] 张沿君[1] 李岗[1] 刘家麒[1] 黄跃南[1] 

机构地区：[1]哈尔滨医科大学附属第二医院普外三科,150086

出　　处：《疑难病杂志》2013年第3期203-205,共3页Chinese Journal of Difficult and Complicated Cases

摘　　要：目的对肠系膜上动脉综合征(SMAS)常用的2种手术方式进行评价。方法对2000年1月—2010年12月行2种手术方式治疗的33例SMAS患者随访1～10年,并对其临床资料及术后效果进行回顾性分析。结果 33例SMAS患者中行十二指肠空肠吻合术14例,痊愈10例(71.4%),好转2例(14.3%),复发2例(14.3%);行十二指肠环流术21例(包括十二指肠空肠吻合术后复发再行环流术者2例),均痊愈。2组疗效差异有统计学意义(P<0.05)。结论十二指肠空肠吻合术适合于病程短、十二指肠逆蠕动轻的患者;十二指肠环流术解决了逆蠕动问题,对病程长、逆蠕动重的患者效果尤佳。Objective To evaluate the two operative modalities for superior mesenteric a^tery syndrome （SMAS）. Methods The clinical data and postoperative effect of 33 cases with SMAS from January 2000 to December 20t0 in this hos- pital was analyzed retrospectively. Results Among the 33 cases of SMAS, 14 cases underwent duodenojejunostomy, in which 10 cases（74.4% ） healed, 2 cases（ 14.3% ） improved, 2 cases（ 14.3% ） recurrence during the clinical follow up. Twenty- one cases underwent duodenal circular drainage operation （ there were 2 cases recurrence, which underwent duodenojejunosto- my again）, the effect of treatment between the two groups were statistically different （ P 〈 0.05 ）. Conclusion The duode- nojejunostomy suits the patients with short disease course and slight reversed peristalsis. And the duodenal circular drainage operation could overcome reversed peristalsis, which suits the patients with long disease course and serious reversed peristalsis.

关 键 词：肠系膜上动脉综合征 逆蠕动 十二指肠空肠吻合术 十二指肠环流术 评价 

分 类 号：R657.2[医药卫生—外科学]