veoexrmpzt
Dołączył: 21 Lut 2011
Posty: 371
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Skąd: England
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 Wysłany: Śro 13:23, 09 Mar 2011 Temat postu: puma tdy bao iiar itp |
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Diagnosis and treatment of duodenal diverticulum
Actively cooperate with the flashing red light treatment device, CAM grating stimulation treatment. Strabismic amblyopia in the visual acuity significantly improved strabismus surgery to correct the verdict, eye position, consolidating effect. With more comprehensive treatment, usually 1-2 months later a second,[link widoczny dla zalogowanych], and then adjusted according to patient's condition in time covered glasses and the ratio of the length of training time. 1.3 Efficacy Evaluation: the light of strabismus amblyopia 1987 National Child Prevention and Control Group adopted standards. Basic cure: visual acuity recovered to 30.9 persons; progress: vision to promote two or more lines or two lines; invalid: including visual acuity deterioration, no change or increase of a monk. ① diverticulum resection. For anatomical easily exposed non-peripapillary diverticulum, and the narrow neck into the rest room. Exploration can be cut in the neck ring to cover the mucosal muscular pulp stump. 2 cases of diverticulum of the group in the descending part of about 2.5cm at the top of the nipple diameter was 2.5cm and 3.0cm, with simple diverticulum excision,[link widoczny dla zalogowanych], postoperative symptoms, good recovery. ② diverticulum turned suture. Has shown for diverticulitis, but the removal of difficult anatomy or diameter of 2. Ocm within the rest room. Diverticulum can be plunged into the intestine, and the purse suture or interrupted suture diverticular neck. ③ diverticulum bypass. Mainly applied to anatomical dissection and removal of difficulties peripapillary diverticulum, or surgery can not ensure the pancreatic duct from injury and surgery can not find the diverticulum, should be avoided for the removal of diverticulum itself,[link widoczny dla zalogowanych], and the line bypass. The relative safety of surgical procedures, I believe that this grass-roots hospitals as the preferred surgical. Surgical methods: Duodenal exclusion surgery (duodenal diverticulum of), the Ministry of will antral resection, such as Billmth-lI method for gastric an anastomosis; Crltchiw law, that is 2-3cm beyond the pylorus free and transected at the duodenum, distal duodenal stump closure,[link widoczny dla zalogowanych], it will OLIX --- ela-Y jejunal loop on the move through the transverse mesocolon and pyloric ends of the line under the end of the duodenum into the side end anastomosis [7]. In addition, Peng Shu-you have introduced a simplified Critchiw surgery: 2CM at the cut away from the pylorus the duodenum, distal duodenal stump sewn closed, filed jejunal loop, in the colon and duodenal stump after the line end to side anastomosis, and finally enter the loop and the jejunum duodenal gastric bending a few close suture needle, the jejunum as the long arm of Y-ridicule. The procedure not only preserves the gastric antrum, and the Y-jejunal afferent loop into the long arm to prevent reflux, the operation is simple and worth promoting. L cases because of the group in the peripapillary diverticulum and the line bypass,[link widoczny dla zalogowanych], postoperative recovery was good. ④ involving the common bile duct by the diverticulum itself, the line should be affordable choledochojejunostomy, to avoid recurrence. Diverticulum with the group, 2 patients underwent common bile duct stones in patients with diverticular resection, common bile duct jejunum Roux-en-Y anastomosis, followed up so far, relief of symptoms without recurrence.
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