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首页> 外国专利> METHOD OF CHOOSING LAPAROSCOPIC CLOSURE TECHNIQUE IN PERFORATED GASTRIC AND DUODENAL ULCER

METHOD OF CHOOSING LAPAROSCOPIC CLOSURE TECHNIQUE IN PERFORATED GASTRIC AND DUODENAL ULCER

机译：穿孔胃十二指肠溃疡选择腹腔镜关闭技术的方法

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FIELD: medicine.;SUBSTANCE: invention refers to surgery and is applicable for choosing an laparoscopic closure technique in perforated gastric and duodenal ulcer. Perforated ulcer is classified, namely: the perforation diameter ≤2 mm makes stating class I, 2 mm and ≤5 mm - class II, 5 mm and ≤10 mm - class III, 10 mm - class IV; the measured extent of inflammatory infiltrate ≤5 mm makes stating class A, 5 mm and ≤10 mm - class B, 10 mm - class C. The stated classes are used to choose laparoscopic closure technique in perforated ulcers. Classes IA, IB or IIA requires the opening to be closed with one z-shaped absorbable suture; classes IC or IIB involves the opening to be closed by separate single-layer absorbable suture, while classes IIC, IIIA or IIIB enables the opening closed by separate double-layer suture: a first layer is absorbable, while a second one is non-absorbable; class IIIC, IVA, IVB or IVC perforated gastric ulcer has the opening closed by separate double-layer suture: a first layer is absorbable, while a second one is non-absorbable; if observing class IIIC, IVA, IVB, IVC duodenal ulcer, laparoscopic closure of the perforation is not considered to be indicated.;EFFECT: method enables reducing a risk of complications related to an inadequate choice of a surgical technique.;2 ex
机译：领域：药物。发明：本发明涉及外科手术并且适用于选择穿孔的胃和十二指肠溃疡中的腹腔镜闭合技术。穿孔溃疡的分类为：穿孔直径≤2mm表示I级，> 2 mm且≤5mm-II级，> 5 mm且≤10mm-III级，> 10 mm-IV级;测量到的炎性浸润程度≤5mm，表示A级> 5 mm，≤10mm-B级，> 10 mm-C级。所述级别用于选择穿孔性溃疡的腹腔镜封闭技术。 IA，IB或IIA类要求使用一个Z形可吸收缝线封闭开口; IC或IIB类涉及通过单独的单层可吸收缝合线封闭的开口，而IIC，IIIA或IIIB类则允许通过独立的双层缝合线封闭开口：第一层是可吸收的，而第二层是不可吸收的; IIIC，IVA，IVB或IVC级穿孔胃溃疡的开口被单独的双层缝合线封闭：第一层是可吸收的，而第二层是不可吸收的;如果观察到IIIC，IVA，IVB，IVC级十二指肠溃疡，则不建议进行腹腔镜关闭穿孔;效果：该方法可降低与手术技术选择不当相关的并发症风险.2 ex

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