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胃扭转的诊断和治疗:附30例报告

ZI-hua CHEN,Jie GE,Zhi-kang CHEN,Chao Feng

CHINESE JOURNAL OF GENERAL SURGERY（2005）

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Abstract
目的探讨胃扭转的发病机制、诊断及治疗.方法回顾性分析30例胃扭转的临床资料.结果术前确诊17例(56.7%),手术中确诊13例(43.3%).诊断为纵轴型21例(70.0%),横轴型8例(26.7%),混合轴型1例(3.3%).3例行内镜下复位,27例接受手术治疗.30例均康复出院,全组病例均随访5年,内镜下复位后复发1例,余病例无复发.结论胃扭转主要由胃周支持韧带松弛引起,发病由多因素共同作用所致.诊断依据临床表现和影像学检查综合分析或手术探查,治疗首选手术.
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Gastric Outlet Obstruction
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