Факторы несостоятельности тонкокишечных анастомозов при спаечном илеусе
Electronic Archive of Sumy State University
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| Title |
Факторы несостоятельности тонкокишечных анастомозов при спаечном илеусе
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| Creator |
Пак, Василь Якович
Корнус, В.В. Раззадорин, С.С. Пак, Василий Яковлевич Pak, Vasyl Yakovych |
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| Subject |
спайковий процес
спаечный процесс adhesive process анастомози анастомозы anastomoses |
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| Description |
Проанализированы факторы развития несостоятельности тонкокишечных соустий и причины неудовлетворительных исходов у 83 больных, оперированных по поводу спаечной кишечной непроходимости. Критериями оценки явился ранговый метод Неймана-Пирсона, сравнение альтернативных групп проводилось по критерию “t” Стьюдента и критерию 2. Among 412 patients, who were operated on account of acute adhesive obstruction, a resection of small intestine (70 (84,3%)) or opening its lumen with following suture (13 (15,7%)) took place in 83 (20,1%) cases. As a rule, intraoperative necrosis of intestine was in majority of patients, required a resection of intestine. The wall of intestine was damaged during adhesiotomy or release of loap out of cicatricial conglomeration in 9 patients. The opening was sutured. There was a need to enterotomy for decompression and extraction of obdurate mass in 4 cases. The factors influencing on result, in other words, on development of failure of anastomosis were studied. The rank method of Neuman Pirson was criterion of evaluation and comparison of alternative groups was carried by Student’s criterion “t” and criterion 2. The 26 patients (31,3 ± 5,0%) were died, and the failure of anastomosis was found in every second cause of mortality (13). Neverthless, according to criterion 2, the relation between failure frequency and Kind of anastomosis was not established ( 2=0,395, p>0,20). The surgery was supplemented with intubation (decompression) of intestines in 18 patients (21,7%). However, this manipulation had not affect on outcomes: 19 patients (29,2 ± 5,6%) were died without intubation (65) and 7 patients out of 18 were died with decompression (38,9 ± 11,4%) (p>0,05). Criterion 2 confirmed also absence of difference in groups - 2=0,307 (p>0,20). Thus, in group of patients with acute adhesive obstruction, where was a need to resect the intestine, the outcomes didn’t depend from undertaken surgical measures (choice of method anastomosis, decompression) and were predetermined by duration of disease and time of realized surgery. |
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| Publisher |
Издательство СумГУ
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| Date |
2010-12-17T12:19:23Z
2010-12-17T12:19:23Z 2005 |
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| Type |
Article
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| Identifier |
Пак, В.Я. Факторы несостоятельности тонкокишечных анастомозов при спаечном илеусе [Текст] / В.Я. Пак, В.В. Корнус, С.С. Раззадорин // Вісник Сумського державного університету. Серія Медицина. — 2005. — №3(75). — С.140-143.
http://essuir.sumdu.edu.ua/handle/123456789/596 |
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| Language |
ru
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