吻合

most endothoracic anastomotic fistula happens 3～13 days after esophagogastrostomy with critical conditions, timely diagnosis and proper treatment including operation can shorten the disease course and greatly decrease the mortality.

食管、贲门癌术后胸内吻合口瘘多发生在术后3～13d，病情多较危重，及时发现并妥善处理包括积极手术介入可明显缩短病程，显著降低吻合口瘘的死亡率。

Methods One side of sciatic nerve of 60 SD rats was treated by small gaps briding, another side was treated by epineurial repair.

通过动物实验，对60只SD大鼠的一侧坐骨神经采用小间隙静脉桥接法吻合，另一侧用采用神经外膜吻合，观察神经修复效果。

Results Free vascularized bone flap was successfully transferred to repair the bone defects in 30 cases. Epineurial neurorrhaphy and interfascicular nerve grafting were used to repair the forearm wounds of peripheral nerve in 150 cases and the good-excellent rate is better than that of tranditional methods. The forearm wounds of peripheral blood vessels were repaired by anastomosis and grafting in early stage in 500 cases , and the patency rate was 91％. The defects of skin , muscle of limbs in forearm wounds were repaired in a one-stage procedure in 120 cases , the problem of muscle force was solved simultaneously.

结果对30例战伤性骨缺损，采用吻合血管的骨移植，全部获得成功；对150例周围神经火器伤，采用神经束间缝合及束间移植术，其总优良率较传统方法为优；对500例周围血管火器伤，早期进行血管吻合和血管移植术，血管通畅率为91％；对120例四肢战伤性皮肤、肌肉等软组织缺损进行一次性修复，并同时解决肌肉的动力。

Methods 18 patients suffering from epiphora again after external dacryocystorhinotomy were examined and treated via nasal endoscope.

对18例经鼻外泪囊鼻腔吻合术后再次出现溢泪的病人，在鼻内镜下对吻合口进行检查，针对不同时期和具体情况进行相应治疗。

Methods:A total of 19 cases of anastomotic leakage following esophagogastrostomy (6 cases) or esophagojejunostomy (13 cases) after gastrectomy for gastric carcinoma in PLA General Hospital from January 1997 to December 2006 were analyzed retrospectively.

对1997年1月至2006年12月，中国人民解放军总医院治疗的胃癌切除术后6例食管胃吻合口漏和13例食管空肠吻合口漏共19例病人进行回顾性分析。

Objective:To summarize the nutritional supporting experiences in anastomotic leakage following esophagogastrostomy or esophagojejunostomy after gastrectomy for gastric carcinoma and to increase the level of treatment of anastomotic leakage following esophagogastrostomy or esophagojejunostomy.

目的：总结胃癌切除术后食管胃或食管空肠吻合口漏的营养支持经验，以提高对食管胃或食管空肠吻合口漏的治疗水平。

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。

Most cervical anastomotic fistulas happen 1-13 days after esophagogastrostomy with critical conditions; timely diagnosis and proper treatment including operation could shorten the disease course and greatly decrease the mortality.

食管癌术后胃食管颈部吻合口内瘘多发生在术后1~13天，病情多较危重，及时发现并妥善处理包括积极手术介入可明显缩短病程，显著降低吻合口内瘘死亡率。

Methord 45 patients of the esophageal carcinomawho were, at random, elected had been undergone the ligation of thoracic duct( Low level: under the 8th thoracic vertebrae) during resection of esophageal carcinoma and esophagogastrostomy, while the other 92 patients of the esophageal carcinomahad only been operated the resection of esophageal carcinoma and esophagogastrostomy.

随机选取45例食管癌患者，在食管癌切除加胃-食管残端吻合时，一期行预防性低位胸导管结扎术(第8胸椎水平以下)；另92例作对照组，仅做食管癌切除加胃－食管残端吻合术。

Results There were greater possibilities to result in ischemic muscular atrophy in cases of simple vascular anastomosis than that of vascular anastomosis accompanied with simultaneous decompression fasciotomy of limbs compartments.

结果 单纯血管吻合组9例，发生缺血性肌挛缩5例；采用血管吻合+切开减压组共47例，发生缺血性肌挛缩4例。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。