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find Keyword "食管缺损" 2 results
  • 同种异体主动脉片修补犬食管缺损的实验研究

    目的寻找临床中实用、安全有效、制作简便的食管修复材料或食管替代物。方法在无菌条件下手术切取犬降主动脉,制作成2cm×3cm的主动脉片低温保存;将3只成年健康杂种犬经手术制造颈段食管壁缺损,用预先低温保存的同种异体犬主动脉片修补缺损。结果动物全部存活,新生食管壁具有正常食管的各层结构和功能,局部管腔无狭窄,进食正常,术后无严重急性排斥反应。结论同种异体主动脉片可以诱导自体食管壁新生,用于食管壁缺损的修补。

    Release date:2016-08-30 06:25 Export PDF Favorites Scan
  • EXPERIMENTAL RESEARCH OF ESOPHAGUS REPLACEMENT WITH PULMONARY FLAP IN DOGS

    Objective-To apply self-pulmonary tissue flap to reconstruct esophagus directly or with alloy stent in this research. Methods Twenty-four dogs were divided into two groups, middle bronchus was ligated to prepare pulmonaryflap and incised, a 4 to 6 cm long and 1/2 to 2/3 perimeter defect was made in esophageal wall. Esophagus defect was repaired only with pulmonary flap (experimental group) and with pulmonary flap having self-expanded stent inside (control group). The gross appearance, histological apearance and barium X-ray films were observed at 2,4,6,8,10 and 12 weeks after operation. Results Two dogs died of anatomotic leak in experimental group, three dogs died of anatomotic leak and two dogs died of perforation of ulcer in control group. The growth of esophagus epithelium was observed from periphery area to central area after 8 to 10 weeks of operation. In pulmonary flap mass fibrous tissue proliferated and fibroblasts were active, but no necrosis occurred. Barium X-ray ofregenerated esophagus showed that mild stenosis and weakened peristalisis were observed in the middle of resophagus replacement, and that no obstruction, leakage, and dilation above anastomotic stoma occurred. Conclusion Pulmonary tissue flap can well support the mucosa crawl in the defect of esophagus. It is necessary to find a more suitable and satisfied stent for repairing segmental defect.

    Release date:2016-09-01 09:26 Export PDF Favorites Scan
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