查询词典 fistula

All the patients had no facial nerves injuries, no limitation in mouth opening and no mastication difficulty. Conclusion The buccinator musculomucosal island flaps pedicled superior-anteriorly and posteriorly are trustworthy and safe for palatal fistula repair. It can be transferred conveniently to repair fistula of any position.

应用蒂在前上和蒂在后的岛状颊肌粘膜瓣修复腭瘘是一种比较安全可靠的方法，其成活率高，可以灵活转移修复各个部位的腭瘘，在修复软硬腭交界部位腭瘘的同时可延长软腭、矫正腭咽闭合不全。

Palatal fistulae were repaired by this method, 4 pedicled superior-anteriorly and 14 pedicled posteriorly, 7 of which got velopharyngeal incompetence correction at the same time. Results All of the patients got satisfactory fistula closure except 3 complications. One flap got partly necrosis and two got fistulae at the hard palate. However, the fistula sizes were reduced greatly and one has been re-repaired well by the transferred buccinator musculomucosal flap one year later.

结果：共修复腭瘘患者18例；其中15例腭部瘘孔获得关闭，颊肌黏膜瓣成活良好，无感染、腮腺导管损伤或阻塞、面神经损伤，无张口受限、瘢痕挛缩及咀嚼障碍；2例因岛状颊肌粘膜瓣远端愈合不良再次出现硬腭前端瘘口，但面积较原来明显减小，其中1例再发腭瘘应用已转移到腭部的颊肌粘膜瓣组织行二次手术修复后愈合；1例岛状颊肌粘膜瓣部分坏死。

Firstly, the establishment of model requires sophisticated neurointerventional techniques and costly interventional materials(sacculus, minikin circlip ring, endovascular electrocoagulation), it not only consumed time but also increased the resesrch expense ; Secondly, although the Massoud model is the first successful model that contain the nidus, but it is far from mimicking the high-flow fistulae frequently observed in a brain AVM; Thirdly, the rapid spontaneous thrombosis result in fistula occlusion in a short time;Fouthly, the model's natural course and the long–term patency of fistula are unclear;Currently the model is only used for the short-term research.

但Massoud模型目前存在以下主要缺点：第一，模型的建立需要复杂的神经介入技术和昂贵的介入材料(球囊、微弹簧圈、血管内电凝等)，操作费时，又大大增加了研究费用；第二，Massoud模型虽然首次具备了畸形血管团，但它远不是我们临床上常见的含有高流量动静脉瘘的脑AVM；第三，颈动静脉吻合口自发性血栓形成进而导致引流静脉闭塞的机率很高；第四，Massoud模型的长期自然过程和动静脉吻合口的长期通畅性尚不清楚，目前仅仅作为急性期模型。

Results 4 cases were treated by thoracic close drainage as long term treatment; 6 cases were cured with exclusive thoracic close drainage; 123 cases of bronchopleural fistula were treated with decortication or thoracoplasty after their symptoms of ardent fever, cough and expectoration vanished due to drainage ; 23 cases of hronchopleural fistula were treated with thoracic close drainage, cleaning up focus of infectionrestoring fistulae-splanchnic wall decortication and repeated chest drainage ,4 cases were cured and the extent of operation and thoracic deformity in 19 cases were diminished.

结果 4例不能耐受进一步手术者采用闭式引流术作为永久性的治疗；6例单纯引流治愈；123例因支气管胸膜瘘等经引流后高热、咳嗽、咳痰等症状消失，择期行胸膜纤维板剥脱术或胸廓成形术；23例合并支气管胸膜瘘拟行胸廓成形术的患者，经引流、病灶清除-瘘修补-脏层纤维板剥脱术、再引流，4例治愈，19例减小了手术范围及胸廓畸形的程度。

Portal braches of 4-5 orders were found in all 19 cases of Child Grade I, with esophageal varices and paragastric varices and no fistula of hepatic artety-portal vein or portal vein embolus; Portal braches of 3-4 orders were displayed in all 16 cases of Child Grade II, besides esophageal varices and paragastric varices, cirsomphalos, retroperitoneal varices, paraesophageal varices, dilated azygos vein were also noted, some patients had fistula and portal vein embolus; in Child Grade III, portal branches of 3~4 orders were displayed with more collateral circulations, dilated left renal vein and paragallbladder varices were appeared, with fistula and portal vein embolus or not.

Child I级19例，肝内门静脉显影4~5级，侧枝循环以食管及胃周静脉曲张为主，没有肝动脉－门静脉瘘或门静脉血栓形成；Child Ⅱ级16例，肝内门静脉显影3~4级，侧枝循环除食管及胃周静脉外，脐周静脉、腹膜后静脉、食管周围静脉、奇静脉也有所开放，部分有肝动脉－门静脉瘘或门静脉血栓形成；Child Ⅲ级6例，肝内门静脉显影3~4级，侧枝循环开放较Ⅱ级增多，可出现左肾静脉扩张或胆囊周围静脉曲张，伴或不伴有肝动脉－门静脉瘘或门静脉血栓形成。16排螺旋CT门静脉造影对上述病例分级为一级17例，二级18例，三级6例，与Child分级结果高度相关。

RESULTS: The morbidity of this kind fistula was 1.83%(4/219) in our hospital. All the 5 patients suffered fistula 1-13 days after esophagogastrostomy; bronchopleural fistula occurred in 2 patients.

结果：本组三切口食管癌手术的颈部吻合口内瘘的发生率为1.83%(4/219)。5例患者内瘘发生时间为术后第1~13天，其中2例合并支气管胸膜瘘。

Other unusual cases may be associated with pneumopericardium, subcutaneous emphysema, splenic abscess, tension pneumothorax, gastropleural fistula, gastrobronchial fistula, gastropancreatic fistula, gastroenteral fistula, and penetration into the heart and aorta.

其它不常见的包括：心包膜腔积气、皮下气肿、脾脏脓疡、张力性气胸、胃肋膜腔唱管、胃支气管唱管、胃胰脏唱管、胃肠道间唱管以及造成心脏或主动脉穿孔。

The fistula could be diagnosed correctly when the patient suffered high fever, dyspnea and thoracalgia after operation, with cervical anastomotic external fistula which could not been healed when the wound was opened, X-ray-showed widened mediastinum and hydropneumothorax, and drainage, esophagoraphy and CT-confirmed anastomotic fistula.

当出现术后突发的高热、呼吸困难、胸痛，合并颈部吻合口外漏，经敞开后病情无好转，X线见纵隔影增宽，液气胸，经口服美蓝，食管造影和CT检查发现吻合口内瘘入纵隔或胸腔即可确诊。

Three, congenital anorectal atresia: This is because of bad or abnormal embryonic development due to congenital diseases, children with anal atresia completely, and some combined vestibular rectal fistula, rectal-perineal fistula or rectovaginal fistula, boys still rectal fistula and other bladder deformity.

三、先天性肛门直肠闭锁：这是由于胚胎发育不良或异常所致的先天性疾病，患儿肛门完全闭锁，有的合并直肠前庭瘘、直肠会阴瘘或直肠阴道瘘，男孩还有直肠膀胱瘘等畸形。

Patients with congenital anal atresia and concomitant rectovaginal or rectoperineal fistula were undertaken Z shape plastic operation with fistula reserved. 2 patients with rectovaginal or rectoperineal fistula were removed and closed fistual and repaired os of fistula.

采用Z成形术修复先天性肛门狭窄9例，保留瘘口瘘道＋Z成形术修复先天性肛门闭锁伴直肠阴道瘘或直肠会阴瘘5例，彻底切除瘘管、分层闭合瘘道、修复瘘口治疗单纯性直肠阴道瘘或直肠会阴瘘2例。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。