A PEROPERATIVE COMPARISON OF WESTERN AND ORIENTAL COLONIC ANATOMY AND MESENTERIC ATTACHMENTS
A PEROPERATIVE COMPARISON OF WESTERN AND ORIENTAL COLONIC ANATOMY AND MESENTERIC ATTACHMENTS
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DOI：
10.1007/bf00346222
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发表时间：
1995-10-01
影响因子：
2.8
通讯作者：
MUTO, T
中科院分区：
文献类型：
--
作者：
SAUNDERS, BP;MASAKI, T;MUTO, T
有人认为，东方结肠比西方结肠更容易进行结肠镜检查。本研究的目的是调查西方和东方患者之间结肠解剖结构的可能差异，这些差异可能解释这一观察结果。在剖腹手术时，根据一套方案对115名西方（高加索人）和114名东方患者进行结肠长度和肠系膜附着的测量。西方患者（17%）的乙状结肠粘连发生率高于东方患者（8%），P=0.047。10例（8%）西方患者的降结肠系膜大于或等于10 cm，而东方患者仅为1例（0.9%），P=0.01。西方患者脾曲移动的频率（20%）高于东方患者（9%），P=0.016。西方患者中横结肠中段到达耻骨联合或向下拉时低于耻骨联合的比例（29%）高于东方患者（10%），P
It has been suggested that the Oriental colon is easier to colonoscope than its Western counterpart. The aim of this study was to investigate possible differences in colonic anatomy between Western and Oriental patients that might explain this observation. Measurements of colonic length and mesenteric attachments were taken according to a set protocol from 115 Western (Caucasian) and 114 Oriental patients at laparotomy. Sigmoid adhesions were found more frequently in Western (17%) compared to Oriental (8%) patients, P=0.047, A descending mesocolon of greater than or equal to 10 cm occurred in 10 (8%) Western patients but only 1 (0.9%) Oriental patient, P=0.01. The splenic flexure was more frequently mobile in Western patients (20%) compared to Oriental (9%) patients, P=0.016, In 29% - of Western patients the mid-transverse colon reached the symphysis pubis, or lower when pulled downwards in contrast to 10% of Oriental patients, P