[实验条件下应用手术的比较研究]。

E Fedor
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引用次数: 0

摘要

43只狗的小肠因划伤产生粘连。38只存活动物于3周后再次剖腹,分离粘连。随后进行Noble手术(11只)、Childs改良手术(10只)、Reifferscheid-Phillipp小肠内夹板术(10只)、单纯腹腔封闭术(7只)(对照组)。尸检于术后1 ~ 8周进行。在高贵的手术后,肠道处于完美的应用顺序。Childs术后无袢重叠,无并发症。内夹板术后观察到无扭结的非系统固定,但2个月后1例未见粘连,另1例因夹板引起腹壁严重炎症。对照组出现扭结、不系统固定、腔宽,无肠梗阻。—Noble操作相对于时间正在扩展。Childs的手术是一种简单的短期手术。作者认为,实验环境下的内夹板是一个漫长而创伤性的过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Comparative studies of plication surgery under experimental conditions].

Adhesions of the small intestine were produced by scarification in 43 dogs. The 38 surviving animals were relaparotomised after 3 weeks and the adhesions were separated. Afterwards the Noble operation in 11 animals, the modified operation by Childs in 10 animals, the interior splinting of the small intestine by Reifferscheid-Phillipp in 10 animals, and the simple closure of the abdominal cavity in 7 animals (control group) were carried out. The autopsy was performed 1 to 8 weeks after the operation. The intestine was in perfect plication order after the noble operation. Overlapping of loops without complications were existing after the operation by Childs. Unsystematic fixations without kinking were observed after the interior splinting, but in one case no adhesion was visible after 2 months and in another case a heavy inflammation of the abdominal wall was caused by the splint. Kinking, unsystematic fixation, and wide lumina without ileus were discovered in the control group. - The Noble operation is expanding with reference to the time. The operation by Childs is a simple and short-term operation. The interior splinting under experimental circumstances is a lengthy and traumatising procedure in the opinion of the author.

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