METHOD OF ASSESSMENT OF ORGANIC AND FUNCTIONAL MUSCLE wealthy CLUTCH PULP the esophagus in the postoperative period

摘要

the method of assessment of organic and functional u0441u043eu0441u0442u043eu00a0u0442u0435u043bu044cu043du043eu0441u0442u0438 muscular coupling u0436u043eu043cu0430 on esophagus in the postoperative period, u0437u0430u043au043bu044eu0447u0430u044eu0449u0438u0439u0441u00a0 in the u044du043du0434u043eu0441u043au043eu043fu0438u0447 u0435u0441u043au043eu0433u043e u0438u0441u0441u043bu0435u0434u043eu0432u0430u043du0438u00a0 u0441u043eu0441u0442u043eu00a0u043du0438u00a0 mucous membrane of esophagus with stomach u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 u043au0443u043bu044cu0442u0435u0439 after proximal resect or u043fu0438u0449u0435u0432u043eu0434u043eu043c and duodenum after u0433u0430u0441u0442u0440u044du043au0442u043e mia,u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 value its duct with those downstream the cultivation of stomach or intestines, u0441u043eu043au0440u0430u0442u0438u0442u0435u043bu044cu043du0443u044e ability u0430u043du0430u0441u0442u043eu043cu043eu0437u0430, the free u043fu0440u043eu0445u043eu0436u0434u0435u043du0438u00a0 endoscope u0438u0447u0435u0441u043au043eu0433u043e apparatus through its clearance, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, further u043fu0440u043eu0432u043eu0434u00a0u0442 u0442u0440u0430u043du0441u0430u0431u0434u043eu043cu0438u043du0430u043bu044cu043du043eu0435 intra-abdominal ultrasound study of u043eu043fu0435u0440u0438u0440u043e bedroom of esophagus, during which u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 it the length of the outer diameter.the thickness of the artificial sphincter muscle u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b, structure u0436u043eu043cu0430 on esophagus in the form of u0441u0442u0440u043eu0435u043du0438u00a0 overlay, a duct in the form of u0436u043eu043cu0430 u0441u043eu043cu043au043du0443u0442u043eu043c and compartment cover to evacuate the contents of register or deny the fact u0433u0430u0441u0442u0440u043eu044du0437u043eu0444u0430u0433u0435u0430u043bu044cu043du043eu0433u043e esophageal reflux, u0432u044bu00a0u0432u043bu00a0u044eu0442 stations u0437u0430u0442u0435u043au043eu0432 fluid outside the contour fo ma in his u043du0435u0441u043eu0441u0442u043eu00a0u0442u0435u043bu044cu043du043eu0441u0442u0438,u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 characterization of blood flow in the area u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 esophagus with stomach or colon u043au0443u043bu044cu0442u0435u0439 with color and energy u0434u043eu043fu043fu043bu0435u0440u043eu0432u0441u043au043eu043c scan, and the endoscopic ultrasound u0438u0441u0441u043bu0435u0434u043eu0432u0430u043du0438u00a0 transition of esophagus stomach or bowel u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 volume in the stump muscle coupling u0436u043eu043cu0430 distal esophageal u043au0440u0430u00a0 on s u043eu0440u043cu0443u043bu0435 (v1, v2), where v1 is the volume of the cylinder u0436u043eu043cu0430 on the outer surface.v2 is the volume of the cylinder on the inner surface of the shell u0436u043eu043cu0430 muscle wall of esophagus, uniformity in thickness u0441u043bu043eu00a0 his forming the muscle u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b, u043fu0440u043eu0446u0435u043du0442u043d the ratio of the first post-operative scar to the circumference of the muscle u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b u0436u043eu043cu0430 with his ultra sonic transverse scan in the early u043fu043eu0441u043bu0435u043eu043fu0435u0440u0430u0446u0438u043eu043du043du043e m while the liquid layer between the u0441u043bu043eu00a0u043cu0438 u0436u043eu043cu0430 and its outer borderthe blood flow along the contour of u0436u043eu043cu0430 in the esophagus and in the determination of the u0442u0440u0430u043du0441u0430u0431u0434u043eu043cu0438u043du0430u043bu044cu043du043eu0433u043e ultrasonic u0438u0441u0441u043bu0435u0434u043eu0432u0430u043du0438u00a0 u0436u043eu043cu0430 on esophagus in the form of heterogeneous. u043eu0438u0441u0442u043eu0439 with alternating layers of different u044du0445u043eu0433u0435u043du043du043eu0441u0442u0438 esophageal wall and formed during the operation u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b muscle u0441u043bu043eu00a0 structure of cylindrical shape with as a u0436u043eu043cu0430 intensive coupling, thickness u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b 41 mm.cylindrical circuit formed u0436u043eu043cu0430, the length of the esophagus u0436u043eu043cu0430 122 mm outer diameter u0436u043eu043cu0430 161 mm, u0441u043eu043cu043au043du0443u0442u043eu043c u043fu0440u043eu0441u0432u0435u0442u0435 u0436u043eu043cu0430 on esophagus 0 - 1 mm, in the case of register stock u0440u0430u0441u043au0440u044bu0442u0438u00a0 duct 3 to 5 mm, the absence of u0437u0430u0431u0440u043eu0441u0430 contents from the stomach or intestines in cultivation of esophagus through the bypass and the amounts of liquid in the form of specific fragment s for the outer wall u0436u043eu043cu0430 in the esophagus.the detection of u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 blood vessels with color and energy u0434u043eu043fu043fu043bu0435u0440u043eu0432u0441u043au043eu043c scanning, the amount of muscle as a u0436u043eu043cu0430 distal u043au0440u0430u00a0 u043fu0438u0449u0435u0432 ode to u044du043du0434u043eu0441u043au043eu043fu0438u0447u0435u0441u043au043eu043c ultra sonic study 2,00,5 cm3, even on the thickening layer of muscle u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b its forming.postoperative hilum u0441u043eu0441u0442u0430u0432u043bu00a0u044eu0449u0435u043c length up to 5% relative to the outer layer u0441u0435u0440u043eu0437u043du043e muscular sphincter u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b formed in transverse him when cut. the absence of additional fluid between u0441u043bu043eu00a0u043cu0438 u0436u043eu043cu0430 and its outer bordervisualization of the distal esophagus with u0436u043eu043cu0430 u043au0440u0430u00a0 u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 organic and functional u0441u043eu0441u0442u043eu00a0u0442u0435u043bu044cu043du043eu0441u0442u044c muscular coupling u0436u043eu043cu0430 on esophagus in after the operating period, and the visualization of u0436u043eu043cu0430 on esophagus in postoperative period in u0442u0440u0430u043du0441u0430u0431u0434u043eu043cu0438u043du0430u043bu044cu043du043eu043c ultra sonic study in the form of a structure with the plo hui u0434u0438u0444u0444u0435u0440u0435u043du0446u0438u0440u043eu0432u043au043eu0439 layers, circuit u0436u043eu043cu0430 irregularly cylindricalu0436u043eu043cu0430 length less than 10 mm or 14 mm outer diameter less than 15 mm or more than 17 mm, the thickness of 3 mm or less u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b muscle u0441u043bu043eu00a0 more than 5 mm, the absence of the u0441u043cu044bu043au0430u043du0438u00a0 u0436u043eu043cu0430 duct, with the possibility of the registration contents of the stomach or intestines u0437u0430u0431u0440u043eu0441u0430 cultivation in the esophagus through the bypass and u0441u043au043eu043fu043bu0435u043du0438u0438 liquid in the form of office u043bu044cu043du044bu0445 fragments for exterior wall u0436u043eu043cu0430 in the esophagus.the absence of u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 blood vessels with color and energy u0434u043eu043fu043fu043bu0435u0440u043eu0432u0441u043au043eu043c scanning, the amount of muscle in the u044du043du0434u043eu0441u043au043eu043fu0438u0447 u0436u043eu043cu0430 connectors u0435u0441u043au043eu043c ultra sonic study of esophagus less than 1.5 cm3, uneven in thickness of the muscular u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b its forming, postoperative hilum.u0441u043eu0441u0442u0430u0432u043bu00a0u044eu0449u0435u043c on length of more than 5% relative to the outer layer u0441u0435u0440u043eu0437u043du043e muscular sphincter u0434u0443u0431u043bu0438u043au0430u0442u0443u0440u044b formed in transverse him when cut, a u0434u043eu043fu043eu043bu043du0438u0442u0435u043bu044cu043d oh the fluid between the u0441u043bu043eu00a0u043cu0438 u0436u043eu043cu0430 or on its outer edge, the absence of vessels with u0436u043eu043cu0430 distal esophageal u043au0440u0430u00a0 are organic and functional n u0435u043fu043eu043bu043du043eu0446u0435u043du043du043eu0441u0442u044c muscular coupling u0436u043eu043cu0430 in postoperative period.