查询词典 sigmoidostomy

Surgical strategies included: 23 cases with meso-caval shunt, 8 cases with splenectomy and spleno-renal vein shunt, 1 case with porta-caval shunt, 2 cases with paraumbilical vein-jugular vein shunt, 3 cases with portal azygous disconnection, 1 cases with splenectomy and portal azygous disconnection, 1 case with sigmoidostomy and closed the fistula of sigmoid six months later, 1 case with resection of part of small intestine due to acute extensive thrombosis of portal vein system, 4 cases with selective superior mesenteric artery and splenic artery thrombolytic infusion therapy, 2 cases remained no-surgical option and underwent conservative treatment.

行肠系膜上静脉-下腔静脉分流术23例；脾切除、脾静脉-肾静脉分流术8例；门静脉-下腔静脉分流术1例；附脐静脉-颈内静脉分流术2例；门奇静脉断流术3例；脾切除、门奇静脉断流术1例；乙状结肠暂时性造瘘，6个月后闭瘘1例；大部分小肠切除术1例；经股动脉插管溶栓4例；未行手术2例，仅给予护肝及对症治疗。

Objective:To explore the clinical effect of extraperitoneal sigmoidostomy in laparoscopic Miles operation.

目的：评价腹膜外乙状结肠造口术在腹腔镜Miles术中的临床应用效果。

There was significant difference on the two aspects between the two groups(P＜0.05).Conclusions:The extraperitoneal sigmoidostomy has the advantages of less complications and better defecation functions.This operation should be applied widely in clinical practice.

腹膜外乙状结肠造口术具有术后并发症发生率低和排便控制功能较好的优点，可提高患者术后的生存质量，值得临床推广。

Methods:60 cases with low rectal and anus carcinoma who underwent laparoscopic Miles operation were divided into two groups.The experimental group (30 cases) received extraperitoneal sigmoidostomy while the control group (30 cases) received traditional intraperitoneal procedure.Postoperative complications caused by sigmoidostomy and defecation function in these two groups were compared.

将接受腹腔镜Miles术的60例低位直肠癌、肛管癌患者分为两组，实验组30例行腹膜外乙状结肠造口术，对照组30例行传统的腹膜内乙状结肠造口术，比较两组患者的造口并发症和排便功能。

Results One case with transverse mesocolon pore hernia, one with obturator hernia and one with paracecal hernia were confirmed by exploratory laparotomy. There were six cases whose hernias resulted from the fall of export jejuna into import jejuna after Billroth II anastomoses in front of colons, five from the pelvic bottoms' peritoneal fissure and four from the fissure appearing between descending colon and lateral abdominal wall after Miles' operation, one from greater omental adhesion to sigmoidal wall after sigmoidostomy, and one from inflammatory adhesion on the basis of Meckel's diverticulum. The other 17 cases' hernias (48.7%) were caused by the fissure among celiac adhesive bands, peritonea, celiac organs, enteric walls and intestines.

结果 剖腹探查手术证实为横结肠系膜裂孔疝1例；闭孔疝1例；盲肠旁疝1例；毕Ⅱ式结肠前吻合术后输出段空肠疝入输入段空肠与横结肠系膜间隙6例；Miles术后盆底腹膜裂开所致内疝5例；Miles术后降结肠与侧腹壁形成的间隙致内疝4例；大网膜与乙状结肠造口肠壁粘连形成内疝1 例；1例在梅克尔憩室基础上发生炎性粘连形成腹内疝；因腹腔粘连带与腹膜、腹腔脏器、肠壁、肠与肠之间的孔隙改变形成内疝17例（48.7%）。

Traditionally, methods of urinary diversion include percutaneous nephrostomy, ureterocutaneostomy, ileal conduit and uretero-sigmoidostomy.

传统性的尿道分流方式有：经皮肾脏造瘻，输尿管皮肤造口术，回肠通路或输尿管乙状结肠吻合术。

Results:In experimental group,only 1 patient suffered from sigmoidostomic stenosis.The incidence rate of complications caused by sigmoidostomy was 3.3% and 26 patients (86.7%) got feel of defecation.In control group,the incidence rate of complications caused by sigmoidostomy was much higher (20.0%) and only 8 patients (26.7%) got feel of defecation.

结果：实验组30例中，1例发生造口狭窄，无其他造口并发症发生，并发症发生率为3.3%，26例获排便感（86.7%）；对照组30例中，发生造口狭窄1例、造口回缩1例，造口处切口疝1例、肠脱垂2例、腹内疝1例，并发症发生率为20.0%，8例有排便感（26.7%）。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。