单纯切开术

From April 2000 to June 2002, 512 cases of laparoscopical urologic operation have been performed through transperitoneal and retroperitoneal or extraperitoneal approach: 41 cases of nephrectomy, 36 cases of radical nephrectomy, 10 cases of nephroureterectomy with cystoscopic en bloc excision of the distal ureter and bladder cuff, 3 cases of partial nephrectomy, 78 cases of partial adrenalectomy or resection of adenomas, 71 cases of total adrenalectomy, 17 cases of ureterolithotomy, 122 cases of decortication of renal cyst, 1 case of Anderson-Hynes dismembered pyeloplasty, 7 cases of renal pedical lymphatics disconnection, 2 cases of relative living donor nephrectomy.

本课题通过对223例肾疾病、149例肾上腺疾病、17例输尿管结石病人进行腹腔镜及后腹腔镜手术，其中肾囊肿去顶术140例、单纯肾切除术41例、根治性肾切除术36例、肾输尿管全切及输尿管口膀胱袖套状切除术10例、后腹腔镜肾部分切除术3例、Anderson-Hynes肾盂成形术1例、肾蒂淋巴管离断术7例、腹腔镜和后腹腔镜活体亲属供肾切取术各1例、肾上腺部分或单纯肿瘤切除术78例、肾上腺全部切除术71例、输尿管切开取石术17例。记录手术时间、手术中失血量、肠道功能恢复时间及并发症，将结果与传统开放手术和国外学者的腹腔镜手术结果进行比较，对数据进行统计分析。

Methods Three hundred and fifty patients for laparoscopic surgery were admitted to our department from August 2001 to February 2002. They included 45 cases of adrenal glands surgery, 55 simple nephrectomy, 25 radical nephrectomy, 11 nephroureterectomy, 3 partial nephrectomy, 110 renal cyst decortication, 4 polycystic kidney decortication, 12 ureterolithotomy, 16 pyeloplasty, 3 retrocaval ureteroplasty, 58 varicocele-varix ligation and 8 pelvic lymph node dissection.

从2001年8月～2004年2月，350例患者施行了腹腔镜下泌尿外科手术，其中肾上腺手术45例，单纯肾切除55例，根治性肾切除25例，肾输尿管全切11例，肾部分切除3例，肾囊肿去顶术110例，多囊肾去顶减压术4例，输尿管切开取石术12例，UPJ成型术16例，腔静脉后输尿管成型术3例，精索静脉高位结扎术58例，盆腔淋巴结切除术8例。

Emergency operation were performed on 21 patients,including embolectomy on 9 cases, embolectomy and intestinal resection on 8 cases, intestinal resection and anastomosis on 3 cases, intestinal resection and enterostomy on 1 case.,expectant treatment on 6 cases.

急诊行手术治疗21例，其中单纯行肠系膜上动脉取栓术9例，肠系膜上动脉切开取栓加肠切除吻合术8例，单纯肠切除吻合术3例，肠切除加肠造瘘术1例。保守治疗6例。

Twenty two cases of such kind of fracture were treated with simple manipulative reduction and application of plaster of Paris as external fixation,prizing dispelling reduction and internal fixation with steel wire,steel wire internal fixation via open reduction,fusion of the ankle joint etc.

本文介绍22例该类骨折，分别采用单纯手法复位石膏外固定、撬拨复位钢针内固定、切开复位钢针内固定和踝关节融合术等方法。

Infections of 3 cases were controled after treatment with the wound dressing and compression bandaging after local inflammation organic resection, oral Xinhuang Tablets of proprietary Chinese medicines and antibiotics; 9 cases were treated with arthroscopic joint clean-up washing , 2 case of them were treated with incision debridement combined by synovectomy arthroscopic due to inability to complete debridement ; 3 case of them were treated with temporary prosthesis replacement surgery on the infection after total knee debridement due to recurring knee swelling and rupture , filling bone cement containing sensitive antibiotics, convection to wash on the articular cavity, and second phase renovation in stable condition, finally they recoveried postoperatively and discharged.

结果：对22例出现炎症性反应的TKA术后患者，经抗感染、关节腔对流冲洗、清创和Ⅱ期再置换并配合口服中成药新癀片等处理。10例轻微肿痛病人经单纯药物治疗，症状改善。12例患者应用外科干预， 3例行局部炎症组织切除后伤口换药并加压包扎，口服中成药新癀片及抗生素治疗后控制感染；9例在关节镜下行关节清理冲洗，其中2例在行关节镜下手术时因无法彻底清创行切开清创合并滑膜切除； 3例因反复出现膝关节红肿、疼痛、甚至破溃予全膝置换术后感染清创临时假体置换术，用含敏感抗生素骨水泥填充，对关节腔进行对流冲洗，待关节情况稳定后行Ⅱ期翻修，术后痊愈出院。

Methods: Mature New Zealand white rabbits were utilized and divided into three groups, In experiment group Ⅰ, the PCL of the right knees in 21 rabbits were resected, the contralateral joints as control group, in which only a medial arthrotomy was performed.

实验方法以新西兰大白兔为实验对象，共分三组，实验组Ⅰ：21只兔右膝关节后交叉韧带切断，左膝行单纯关节切开术作为对照组；实验组Ⅱ：18只兔右膝关节后交叉韧带切断后即刻重建。

Different operation were selected in 40 patients according the type of concealed penis. Simple concealed penis: weight reduction and observation or Y-V plasty of acrobystia. Phimosis type: slitting the outer plate of prepuce at 2, 6 and 10 clock point and at 4, 8 and 12 clock point on the inner plate then making a tongue-groove suture. Fascia bands type: removing the dysgenic dartos fascia band and moving up the penoscrotal spot and make a Y-V plasty. Webbing penis: taking a transsection and longitudinal suture at the penoscrotal spot.

对40例不同类型肥胖者伴发隐匿阴茎病人采用不同的处理方法，单纯型：减肥观察或包皮&Y-V&成型；包茎型：切开包皮外板2、6和10点，内板4、8和12点，嵌插缝合；纤维索带型：切除松解阴茎背侧挛缩的筋膜，上移阴茎阴囊交界部行&Y-V&成型术；蹼状阴茎：作阴茎阴囊交界部腹侧横切纵缝。

Patients with peritonsillar abscess were treated with needle aspiration, incision drainage of pus or abscess tonsillectomy together with appropriate antibiotic therapy.

扁周脓肿患者采用穿刺抽脓、切开排脓或脓肿扁桃体摘除术并配合适当抗生素进行治疗，而扁周炎只需单纯抗生素治疗。

Objective : To investigate the obstructive sleep apnea-hypopnea syndrome surgical therapy; Methods : 30 patients with routine examination all were found to have a narrow oropharynx mainly of upper airway obstruction, OK simple tracheostomy 1, tracheotomy anesthesia in two cases, posterior pharyngeal surgery in 28 cases. velopharyngeal surgery Suprahyoid suspension for two cases; Results : 27 patients recently effective, and the total efficiency of 90%. 26 cases of long-term effective, and the total efficiency of 86.7%, complications including intubation asphyxiation, hemorrhage, such as eating reflux.

目的：探讨阻塞性睡眠呼吸暂停低通气综合征的手术治疗；方法：30例患者经常规检查发现均存在以口咽部狭窄为主的上气道阻塞，行单纯气管切开术1例，气管切开插管麻醉2例，行腭咽部手术28例，腭咽部手术联合舌骨上悬吊术2例；结果：近期27例有效，总有效率90%，远期26例有效，总有效率86.7%，并发症包括插管窒息、出血、进食反流等。

Dissecting the gallbladder wall for inspection and palpating the mucosa is useful for the diagnosis of incidental gallbladder carlinoma,and when necessary,histopathologic examination should be performed LC for PT1 gallbladder cancer needs no additional treatment,however,wedge resection of liver bed tissue and district lymphaden for PT2 patients is recommended,Conversion to the open procedure and radical operation or palliative operation for PT3 is prefered

所有病例均未见脐部戳孔处肿瘤种植转移。结论：LC术中应常规切开胆囊标本，必要时送术中冰冻。PT1单纯切除胆囊已足够；PT2要额外楔形切除肝组织及区域淋巴结；PT3中转开腹，行根治手术或姑息手术。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。