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在25具成人尸体观察并测量了胃上部及其周围结构。包括肝左叶的厚、宽、长;左三角韧带长度;食管裂孔构型;裂孔顶至最上胃短动脉的距离及至胃左动脉第一胃支的距离;胃底高度;His角角度;胃食管粘膜连接与表面连接间距离;胃后动脉管径和胃裸区范围。根据以上观察和测量的结果,作者认为在治疗返流性食管炎行胃底褶缝术时。多数病例适宜采用Sifers Trethar术式。术中应注意手术野的暴露和胃底部及食管下段的松解。
Abstract：The structures of the upper gastric areas and their relationship were observed and measured in 25 adult cadavers,including the thickness, width and length of the left lobe of the liver, the length of the left triangular ligament, the configuration of the esophageal hiatus, the distance from the apex of the hiatus to the superior short gastric artery and to the first gastric branch of the left gastric artery, the height of the fundus of the stomach, the angle of His, the distance between the external and internal gastroesphageal junction, the diameter of the posterior gastric artery and the extent of the bare area of the stomach. The authors are of the opinion that according to the results of obse rvations and measurements, Sifers Trethar's operation is suitable for tre ating reflux esophagitic in the majority of the dases. During operation, attention should be paid to the exposed field of operation and the division of the fundus and inferior segment of the esophagus.
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3． Herbert Wald. Anatomical Variatoins in Hiatal and Upper Gastric Areas and Their Relationship to Difficulties Exprienced in Operations for Reflux Esophagitis. Ann Surg 1983; 193: 389-392．
4． 曹献廷.食管-胃连接处之功能问题.山东医学院学报 1963;1:46．
5． 连世海,等.贲门管的X线解剖及生理功能的研究.山东医学院学报 1963;1:36．
6． Polk.Fundoplication for Reflux Esophagitis. Ann Surg 1976; 183: 645-652．
基本信息:
引用信息:
[1]罗兆明,黄鸿钧.胃上部及其周围结构的初步观察[J].广州医学院学报,1985(04):5-7.
1985-12-31
1985-12-31