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学科主题: 外科学
题名:
Roux淤滞综合征研究现状
其他题名: Updates in the research of Roux stasis syndrome
作者: 白洋; 傅卫
关键词: Roux淤滞综合征 ; 胃切除术 ; 消化道重建 ; Roux stasis syndrome ; Gastrectomy ; Digestive tract reconstruction
刊名: 中华消化外科杂志
发表日期: 2015
DOI: 10.3760/cma.j.issn.1673-9752.2015.07.018
卷: 14, 期:7, 页:593-597
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: Roux-en-Y手术方式是远端胃切除术后及全胃切除术后消化道重建的主要方式,Roux淤滞综合征是其常见术后并发症之一.Roux淤滞综合征是指患者行Roux-en-Y消化道重建术后出现的一系列症候群,主要包括腹痛、腹胀、恶心、呕吐及食欲减退等胃肠道排空障碍的症状.目前认为,Roux-en-Y术后Y形肠襻运动异常,产生逆向蠕动,导致其内容物排空障碍,是引发Roux淤滞综合征的主要原因.药物及电刺激的治疗方式对该综合征有一定治疗效果,通过“非离断式Roux-en-Y吻合术”预防该综合征的发生已得到广泛认可和应用.更准确地测定Roux-en-Y术后消化道的生理变化,解释Roux淤滞综合征的发生机制,将更有效地指导临床医师治疗该病. Roux-en-Y procedure has widely been used for digestive tract reconstruction after distal or total gastrectomy,and the Roux stasis syndrome is one of the most common complications.The symptoms of Roux stasis syndrome include abdominal pain,abdominal distention,nausea,vomiting and anorexia.Abdominal movement of the intestinal loop and reversed peristalsis cause delayed passage of gastric contents,which is the main cause of the Roux stasis syndrome.Prokinetic agents and electronic stimulation have been investigated as potential nonsurgical treatment methods for Roux stasis syndrome."Uncut Roux-en-Y anastomosis" has been found to be effective in preventing Roux stasis syndrome.In the future,precise evaluation of the psychological changes of the digestive tract after the Roux-en-Y anastomosis and understanding the mechanism of Roux stasis syndrome would be more effective to help the surgeons to resolve the problems.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/73191
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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作者单位: 100191,北京大学第三医院普通外科

Recommended Citation:
白洋,傅卫. Roux淤滞综合征研究现状[J]. 中华消化外科杂志,2015,14(7):593-597.
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