吻合

Results Of the operation for 196 patients, intraoperative complications occurred in three patients, postoperative complications in 17, which included presacral venous hemorrhea, prostatic bleeding, ureteric injury, wound infection, anastomotic leakage, rectovaginal fistula, anastomotic stricture, fistulous necrosis and stricture, and acute urinary retention.

结果 196例直肠癌病人发生术中并发症3例(1.5%)，手术后并发症17例(8.7%)，包括骶前静脉大出血、前列腺出血、输尿管损伤、切口感染、吻合口漏、直肠阴道瘘、吻合口狭窄、急性尿潴留和造口坏死狭窄等。

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 patients may occur exhaust distention more possibly in BillrothⅡanastomotic operation,that is partial resection of stomach with gastrojejunal anastomosis,than Billroth Ⅰanastomotic operation.

两种不同消化道重建术手后，行毕Ⅱ式吻合术即行胃空肠吻合的患者更容易出现腹胀，应采取有效的护理干预措施，以减少腹胀的发生。

The patients may occur exhaust distention more possibly in BillrothⅡanastomotic operation,that is partial resection of stomach with gastrojejunal anastomosis,than Billroth Ⅰanastomotic operation.

两种不同消化道重建术手后，行毕Ⅱ式吻合术即行胃空肠吻合的患者容易出现腹胀，应采取有效的护理干预措施，以减少腹胀的发生。

objective to investigate the clinical characteristics and the surgical treatment for perforation of gastric cancer.methods we summarized 22 cases suffering from perforation of gastric cancer in our hospital,6 were treated with repair of perforatlon and gastrojejunostomy at the same time,8 with partial gastrectomy,8 wth radical gastrectomy for gastric cancer（d2,d3）,and positive treatment such.as intraperitoneal chemothrapy to the patients above.results the life expectancy of patients treated with repair of perforation,partial gastrectomy or radical gastrectomy for gastric cancer was 6,29.2 and 37.3months.conclusion reasonably select surgery methoty and positive treatment are keys to prolong the survival time.

目的 探讨胃癌穿孔的临床特点及外科治疗方法。方法对22例胃癌穿孔病人实施不同手术方式治疗。其中行穿孔修补加胃肠吻合术6例，姑息性胃癌切除术8例，胃癌根治术（d2，d3）8例，后两者术后均行腹腔化疗等综合治疗。结果穿孔修补加胃肠吻合术、姑息性胃癌切除术、胃癌根治术术后平均生存期分别为6个月、29.2个月、37.3个月。结论合理选择术式，综合治疗，是延长病人生存期的关键。

Results Of the operation for 196 patients,intraoperative complications occurred in three patients,postoperative complications in 17,which included presacral venous hemorrhea,prostatic bleeding,ureteric injury,wound infection,anastomotic l...

结果196例直肠癌病人发生术中并发症3例(1.5%)，手术后并发症17例(8.7%)，包括骶前静脉大出血、前列腺出血、输尿管损伤、切口感染、吻合口漏、直肠阴道瘘、吻合口狭窄、急性尿潴留和造口坏死狭窄等。

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。

A combination of aorta toinfrarenal aorta anastomosis and portal vein to infrarenal vein cavaanastomosis was adopted for small bowel graft revascularizing.

重建供肠血管采用腹主动脉-肾下腹主动脉吻合以及门静脉-肾下下腔静脉吻合。

It was achieved by intradural microanastomosis of the L6 ventral root to S2 ventral root. After axonal regeneration, the "patellar ligament-spinal cord center-bladder" reflex pathway was reestablished. The function of the reflex arc was observed by nerve electrophysiological experiment, detrusor electromyography experiment, urodynamic testing and HRP retrograde tracing before and in 8 months after the spinal cord was destroyed horizontally between S1 and S4 level. There was one case of conical SCI patient who had L1 fracture and paraplegia was received intradural microanastomosis of the L6 ventral root to S2 ventral root after Li fracture and paraplegia.

将Beagle犬L6前根近端与S2前根远端在硬膜内显微吻合，经一段时间的轴突再生后，建立&膝腱－脊髓中枢－膀胱&人工反射弧，术后8个月，在破坏S1~S4脊髓节段前后分别进行神经电生理、膀胱肌电图及尿流动力学和辣根过氧化物酶逆行示踪等检查；对1例L1压缩性骨折伴截瘫患者行右侧T11与52前根经腓肠神经移植硬膜内吻合术。

The proximal jejunum of the graft was anastomoscd to that of recipient, and an jejunostomy was created by exteriorizing the distal end of the donor jejunum with the recipient distal jejunum anastomosed to the side of the graft blow the stoma.

肠道重建采用切除受体部分回肠，将供肠近端与受体肠近切端端端吻合，供肠远端与受体肠远切端端侧吻合后把供肠远端拖出，腹壁造口的方法。

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。