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BACKGROUND & OBJECTIVE: A special kind of fistula will be formed when cervical gastroesophageal anastomotic fistula occurs and its contents contaminate mediastinum or pleural cavity after esophagogastrostomy. The diagnosis and treatment are difficult to made. It is very dangerous if the treatment is incorrect.

背景与目的:食管癌术后胃食管颈部吻合口内瘘入纵隔、胸腔时形成特殊类型的吻合口瘘,诊治均较困难,处理不当则易危及生命。

Methods The gastral wedge of a relatively small width was rotated to the middle of the posterior wall of gastral wedge,the gastroduodenal anastomosis is approximated in Billroth Ⅰ method.175 consecutive patients were treated in this method.Results Less postoperative complications were recorded.

175例胃大部切除术后患者采用胃十二指肠小吻合口,小弯侧瓣向后旋转,使残胃小弯侧瓣口成为后壁之中点,残胃与十二指肠对端吻合的方法。

The opening of leptomeningeal anastomoses vessel is the important way of collateral circulation in cases of serious stenosis or occlusion of MCA,the collateral flow between MCA and ACA is dominant. The RVACA/RVPCA can reflect the hemodynamic changes、the state of leptomeningeal anastomoses vessel when the MCA was serious stenosis or occlusion; There was a inverse correlation negative correlation between the RVACA/RVPCA and the NIHSS.

⑴在MCA中度以上狭窄或闭塞的情况下,皮质软脑膜吻合血管开放成为侧支循环的主要途径,以MCA-ACA之间的代偿为主;⑵RVACA和RVPCA在一定程度上可以反映MCA狭窄或闭塞时颅内血流动力学的改变、软脑膜侧支吻合的功能状况及有效程度;⑶RVACA和RVPCA与患者的NIHSS评分呈负相关,RVACA和RVPCA值越高的患者,其神经功能缺损程度越轻。

Their major trunks were not communicated each other during the course. But there were rich terminal anastomoses on the pial mater of the brain.

视交叉侧动脉具有较长的脑外游离段,各穿动脉主干之间不吻合,而在软膜上与邻近穿动脉之间存在广泛的终末吻合。

Objective To study the treatment and diagnosis of postcaval ureter.Methods Among8cases with postcaval ureter,6cases underwent ureteroureterostomy before vena cava,1case ureteroureterostomy after cutting inferior vena cava,1case right nephrectomy.

目的 探讨腔静脉后输尿管的临床诊断与治疗方法对8例腔静脉后输尿管中6例行腔静脉端端吻合,1例切断下腔静脉再吻合,1例行右肾切除术。

Results :Satisfactory facial appearance was achieved in all the patients . Results showed that the repeatability was 100% when error tolerance was 3.5 mm. If tolerance was set at 2 mm, the repeatability was 97.8%.The biggest difference occurred in ramous area.

结果:5例患者均获得满意的术后形态,在差值分析分析中,设允许误差为2mm,真实术后与虚拟手术的吻合程度为97.8%;设允许误差为3.5mm,两者吻合程度为100%;最大差别产生的区域在双侧升支。

Cases happened in 76 cases suffering the not prophylactic terminal ileum stoma patients and the patients was concrescence after treating with colon transversum stoma, abdomen-perinaeum association ectomy, nutrition and partly washing.

未施行预防性末端回肠造瘘的76例患者中吻合口瘘发生率11.896(9例),分别予以横结肠造瘘、腹会阴联合切除术及营养支持与局部冲洗引流治疗后愈合;出现吻合口瘘后的平均住院时间为27(15-60)天。

Methods The model of carotid-jugular fistula in 10 rats was constructed by left external jugular vein and common carotid artery side to end anastomosis.

将大鼠左侧颈外静脉与颈总动脉行端侧吻合,测定吻合前后及模型动物饲养16周后的血流动力学改变。

See if the frame fits to the door, and if it does, then finish making it.

看一看这门框是否与门吻合,如果吻合,就把它安装好。

Results The AVM animal model was successfully created in seven CEMPs, which was similar to human brain AVM in angio-architecture, angiographic-image, embolizing behavior and post embolization pathological findings. Thromboses were found inside the CJA vessels in 4 animals and in the rest 3 the CJA vessels were shrunk without thrombus.

结果在7只CEMPs中成功制作了AVM动物模型,该模型在血管结构、造影影像、栓塞表现和栓塞后病理改变上与人脑AVM的相似。4只动物颈动静脉吻合口血管腔内有血栓形成,其余3只吻合口血管塌陷皱缩,腔内无血栓。

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