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find Keyword "转流手术" 2 results
  • Mechanism Study Progress of Gastrointestinal Bypass Operation on Treatment of Type 2 Diabetes Mellitus

    Objective To study the mechanism of gastric bypass operation on treatment of type 2 diabetes mellitus, recognize the etiology and pathogenesy of the disease and frame therapy strategy for type 2 diabetes mellitus. Methods The literatures about gastric bypass operation on treatment of type 2 diabetes mellitus, including clinical cases reports and evidence-based studies were reviewed. Results Gastrointestinal bypass operation was regarded as an effective treatment for type 2 diabetes mellitus. There were three hypotheses of therapy mechanism: early delivery of nutrients to the distal intestine, exclusion of the proximal intestine and incretin/anti-incretin. Conclusion Gastrointestinal bypass operation is now considering as an effective treatment, there is still a lack of basic experimental studies to clarify the mechanism.

    Release date:2016-09-08 10:56 Export PDF Favorites Scan
  • 4 例肠道内瘘患者行转流治疗的临床分析

    目的探讨转流手术在肠道内瘘治疗中的应用价值。方法回顾性分析 2016 年在北京大学第三医院行转流手术治疗的 4 例肠道内瘘患者的临床资料。结果病例 1,直肠癌术后出现右侧输尿管瘘,先于膀胱镜下行右侧输尿管支架置入术,术后症状短暂缓解,后肛门溢液再次出现,且逐渐发展为右肾积水, 3 个月后又行右侧经皮肾造瘘术。病例 2,直肠癌术后出现尿道瘘,行腹腔镜横结肠双腔造瘘术。病例 3,乙状结肠憩室炎导致结肠膀胱瘘,行腹腔镜探查、开腹膀胱后壁分离、膀胱瘘修补、结肠修补及末端回肠双腔造瘘术。病例 4,盆腔肿瘤复发导致小肠阴道瘘,行腹腔镜末端回肠双腔造瘘术。4 例患者术后 1 周内原有症状消失,手术效果良好。术后随访 3 个月~1 年,病例 1 和病例 4 肿瘤原位复发;病例 2 于术后 6 个月行经肛门尿道修补手术成功;病例 3 于术后 6 个月时瘘口愈合,行造瘘口还纳术。结论转流手术治疗肠道内瘘具有重要价值,但应严格把握适应证,并重视术后随访。

    Release date:2017-09-18 04:11 Export PDF Favorites Scan
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