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Objective To evaluate the application value and prognosis of three-ring ileo-pouch anal anastomosis with selected blocking after total colectomy.
e# 目的探讨全结肠切除后三环型回肠贮袋肛管吻合加选择性截流术的价值和疗效。
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Total proctocolectomy and ileostomy is a cure for UC,total proctocolectomy and ileal pouch-anal anastomosis improves defecation control but followed by a high incidence of stomal ulcer.
全结肠切除、回肠造口术治疗较彻底，全结肠直肠切除，回肠贮袋肛管吻合术可以改善排便控制功能，是目治疗溃疡性结肠炎较好的手术方式。
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The average age was 27.8 years, and there were 47.5% patients with malignant change, the average age of them was 35.9 years. The choice of operative procedures included total proctocolectomy with ileostomy in 60 cases (26.0%), subtotal colectomy+rectal polyposis electrocautery in 63 cases (27.3%), total colectomy or proetocolectomy with ileo-anal anastomosis in 12 cases (5.2%), total colectomy or proctocolertomy with ileal pouch-anal anastomosis in 19 cases (8.2%), subtotal colectomy+rectal mucoscctorny, through the muscular sheath of rectum ileo-anal anastomosis in 22 cases (9.5%), ileal pouch-anal anastomosis in 47 cases (20.3%), and subtotal proctoeoleetomy in 8 cases (3.5%).
术式选择全结肠直肠切除＋末端回肠腹壁造口术60例(26.0%)，全结肠部分直肠切除＋回肠直肠吻合术63例(27.3%)，全结肠直肠切除＋回肠肛管吻合术12例(5.2%)，全结肠直肠切除＋回肠储袋肛管吻合术19例(8.2%)，全结肠部分直肠切除＋残留直肠黏膜剥脱＋经直肠肌鞘回肠肛管吻合术22例(9.5%)，全结肠部分直肠切除＋残留直肠黏膜剥脱＋经直肠肌鞘回肠储袋肛管吻合术47例(20.3%)，部分结肠或直肠切除术8例(3.5%)。
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This value was primarily used in choledochal cyst and biliary atresia for more than 100 cases, and also applielied to many other operations for perventing reflux, including: gastroesophageal refluk-Nissen fundoplication, colon replacement of esophagus, side to side shert-circuit of intestinal obstruction, and Kock scontinent ileoslomny.
此瓣原为治疗先天性胆总管囊肿及胆道闭锁，现在也用于其它防返流手术，如胃食管返流的Nissen胃底折迭术，结肠代食道，肠梗阻短路侧吻合，及可控性回肠造口。
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According to the result of the bariam enema examination after 6 Months,the average diameter of microcolon was 15mm.And based on the pathological report by frozen section during the 2nd operation.Gangliocyte could be seen into the mucous layer of the microcolon.They were all accepted the end-to end intestinal conastomosis in two-stage operation and be used intravenous feeding for 7 days.
第一期做正常的结肠造瘘，嘱家长在6个月内每日坚持予温盐水灌肠，以刺激小结肠的发育，避免废用性萎缩，6个月后回院行钡灌检查提示：原狭窄肠段直径平均15mm，第二期术中送检小结肠黏膜提示有神经节细胞，故行结肠端―侧吻合术，术后予静脉营养1周。
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Total proctocolectomy and ileostomy is a cure for UC,total proctocolectomy and ileal pouch-anal anastomosis improves defecation control but followed by a high incidence of stomal ulcer.
全结肠切除、回肠造口术治疗较彻底，全结肠直肠切除，回肠贮袋肛管吻合术可以改善排便控制功能，是目前治疗溃疡性结肠炎较好的手术方式。
- 更多网络解释与回肠结肠吻合术相关的网络解释 [注：此内容来源于网络，仅供参考]
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ileocolostomy：回肠结肠吻合术
ileocolitis 回肠结肠炎 | ileocolostomy 回肠结肠吻合术 | ileoproctostomy 回肠直肠吻合术
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ileocolostomy：回肠结肠吻合术 回结肠切开术
ileocolitis 回肠结肠炎 回结肠炎 | ileocolostomy 回肠结肠吻合术 回结肠切开术 | ileocolotomy 回肠结肠切开术
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retrocolic gastrojejunostomy：结肠后胃空肠吻合术
结肠黑色素沉着病, melanosis coli | 结肠后胃空肠吻合术, retrocolic gastrojejunostomy | 结肠回肠侧吻合术, Martin procedure
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ileocolitis：回肠结肠炎
ileocecus 回盲部 | ileocolitis 回肠结肠炎 | ileocolostomy 回肠结肠吻合术
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ileocolitis：回肠结肠炎 回结肠炎
ileocolitis 回肠结肠炎 回结肠炎 | ileocolostomy 回肠结肠吻合术 回结肠切开术 | ileocolotomy 回肠结肠切开术
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jejunoileitis：空肠回肠炎
jejunocolostomy空肠结肠吻合术 | jejunoileitis空肠回肠炎 | jejuno-ileostomy空肠回肠吻合术
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jejuno-ileostomy：空回肠吻合术
空结肠吻合术 jejunocolostomy | 空回肠吻合术 jejuno-ileostomy | 空回肠 jejuno-ileum