胃肠道手术中吻合器使用不当致吻合口梗阻原因分析  

The analysis of anastomotic obstruction caused by improper use of stapler in gastrointestinal surgery

作　　者：陈涛[1] 耿翔[1] 

机构地区：[1]江苏省常州市第二人民医院普外科,213001

出　　处：《蚌埠医学院学报》2013年第12期1566-1567,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨胃肠道手术中吻合器使用不当致吻合口梗阻的原因及其防治策略。方法:回顾性分析吻合器所致吻合口梗阻9例的临床资料。9例患者均行端侧吻合,其中8例在术中发现吻合口梗阻后改为手工吻合。结果:9例患者术中探查均发现由于系膜缘肠黏膜被钉入吻合口所致吻合口梗阻。1例术后出现肠梗阻症状,行肠镜检查时发现,再次手术行手工吻合。结论:吻合器使用过程中应注意各种细节,避免造成吻合口梗阻,减少患者痛苦。Objective：To explore the reasons of anastomotic obstruction caused by improper use of stapler in gastrointestinal surgery and control strategy. Methods： The clinical data of 9 cases with anastomotic obstruction caused by improper use of stapler were retrospectively analyzed. Nine cases were operated by end-to-side anastomosis, 8 cases were sutured by hand after anastomotic obstruction during operation. Results ： Nine patients with anastomotic obstruction were caused by the intestinal mucosa of mesentery edge nailing into the anastomotic stoma during operation. The anastomotic stoma in 1 case was sutured by hand again when the intestinal obstruction symptom was found by enteroscopy after operation. Conclusions：The details should be paid attention to during the using of stapler, which can avoid the anastomotic obstruction and reduce the suffering of patients.

关 键 词：胃肠疾病 外科手术 吻合器 端侧吻合 吻合口梗阻 

分 类 号：R656.61[医药卫生—外科学]