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观察单层缝合在小儿胃肠吻合术中应用的可靠性,对34例患儿,42个吻合口,进行单层间断缝合肠吻合术。缝合在浆膜面进行,穿肌层和粘膜下层出针,然后在另一端肠端的粘膜下层进针,穿肌层和浆膜出针,打结,不缝粘膜层。结果显示,全组无吻合口漏和狭窄,术后1天排气排便,3天进食。该方法对小儿安全可靠,与双层吻合比较具有吻合口大,肠壁各层组织对合准确,损伤小和肠功能恢复快等优点。
To observe the reliability of single-layer suture in pediatric gastrointestinal anastomosis, 34 cases of children, 42 anastomosis, monolayer interrupted suture intestinal anastomosis. Stitched in the serosal surface, wear muscle and submucosal needle, and then enter the other side of the intestinal mucosa at the end of the needle, wear muscle and serosal needle, knot, no mucosal layer. The results showed that the whole group without anastomotic leakage and stenosis, postoperative defecation 1 day, 3 days to eat. The method is safe and reliable for pediatric patients and has the advantages of good anastomotic contrast with double-layer anastomosis, accurate and small damage to intestinal tissues and rapid recovery of intestinal function in all layers of the intestinal wall.