胆肠吻合防返流矩形瓣设计与应用  

THE ANTIREFLUX SPUR-VALVE AND ITS CLINICAL APPLICATION

作　　者：张金哲[1] 

机构地区：[1]北京儿童医院

出　　处：《中国修复重建外科杂志》1992年第3期129-131,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：防返流矩形瓣原为Roux-Y胆肠吻合设计。Y的两升支并拢缝合前,先切除胆道支邻侧的浆肌层,则使缝合后的共同肠壁被压迫偏向胆道侧而形成矩形瓣。不但能防止肠膨胀引起的返流,也能防止肠蠕动引起的返流。此瓣原为治疗先天性胆总管囊肿及胆道闭锁,现在也用于其它防返流手术,如胃食管返流的Nissen胃底折迭术,结肠代食道,肠梗阻短路侧吻合,及可控性回肠造口。详细介绍了技术操作。The antireflux spur-valvewas originally designed for the Roux-Y cholenterostomy. It is made by plication of the two upper limbs of the 'Y' after the removal of the seromusculature from the biliary limb, so that the conjoined wall-in-between will he compassed deviating to the biliary, side to form a spur value. It could successfully stop the reflux due to normal peristalsis or intestinal distension. This value was primarily used in choledochal cyst and biliary atresia for more than 100 cases, and also applied to many other operations for preventing reflux, including: gastroesophageal reflux-Nissen fundoplication, colon replacement of esophagus, side to side shert-circuit of intestinal obstruction, and Kock's continent ileoslomny. The detailed procedures were described.

关 键 词：矩形瓣 胆肠吻合 返流 

分 类 号：R656[医药卫生—外科学]