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纸质出版:2007
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张集建,郭光金,黄春霞,姜军.间置回盲肠重建幽门后胃肌电的实验研究[J].陆军军医大学学报(原第三军医大学学报),2007,29(01):36-38.
ZHANG Ji-jian,GUO Guang-jin,HUANG Chun-xia,JIANG Jun.Ileocecal interposition graft as substitute for pylorus after subtotal distal gastrectomy[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(01):36-38.
目的 探讨胃大部切除带蒂回盲肠重建幽门的手术方法。 方法 将14只巴马小型香猪分为假手术组和回盲肠间置幽门重建术组(间置组),每组7只。假手术组行剖腹探察;间置组行胃大部切除后将带蒂回盲肠间置替代幽门重建胃肠道。分别在术后2、4、6个月用BL-410生物实验机能系统记录消化间期的胃肌电慢波,计算并比较平均慢波频率和慢波异常节律指数。 结果 手术后胃的慢波频率变化不大(P0.05)。术后2、4个月与假手术组比较,间置组的异常节律指数在术后2、4个月明显增高(P0.01,P0.05);术后6个月两组无显著性差异(P0.05)。 结论 带蒂回盲肠间置术用于胃大部切除幽门重建方法可行,可供临床参考。
Objective To investigate the feasibility of ileocecal interposition graft as substitute for pylorus after conventional distal gastrectomy. Methods Fourteen Bama minipigs were randomized into sham laparotomy group and ileocecal interposition graft group (group Ⅱ) after subtotal distal gastrectomy (n=7 in each group). Electrogastrogram was recorded by BL-410 biologic experiment enginery system for 60 min at 2
nd
4
th
6
th
month after operation. The mean frequency of slow wave (MFSW) and the index of abnormal slow wave (IASW) were calculated and compared. Results After operation
MFSW was of no great changes and of no statistical difference. At 2
nd
4
th
month after operation
IASW in group Ⅱ was
higher than that in sham laparotomy group (P0.01 at 2
nd
month
P0.05 at 4
th
month)
while at 6
th
month
no difference was among the two groups. Conclusion Ileocecal interposition graft as substitute for pylorus after conventional distal gastrectomy is feasible.
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