吻合的

Methods: From May 1985 to December 2002, 2240esophageal and stomach cardia cancer patients treated by intrathoracic esophagogastric "layer-to-layer"anastomosis with esophageal mucosa extended varied in plane were retrospectively analyzed.

回顾性总结1985年5月～2002年12月共进行胸腔内食管黏膜延长不同平面与胃、食管分层吻合术2240例，统计手术后和出院后随访资料发生吻合口瘘和吻合口狭窄的情况。

Intrathoracic esophagogastric "layer-to-layer" anastomosis with esophageal mucosal extended varied in plane is an ef fective method to prevent anastomotic leaking and stricture postoperatively.

食管、胃黏膜延长不同平面分层吻合术是预防吻合口瘘和吻合口狭窄的有效吻合方法。

Abstract］ objective to discuss the influencing factors of healing up of anastomosis between traditional and morden ideas and question the more reasonable method of intestinal tract preparation in stage one operation.methods twenty-six patients with colon cancer were divided into 3 groups:colostomy group（8 cases）,washing group (9 cases) and suction group (9 cases).all the patients underwent colectomy plus stage one anastomosis and exteriorization with different interoperative preparation with which we compared the healing up of anastomosis within the three groups.results there were 3 cases having fistula in the colostomy group （8 cases）;one case in the washing group,but all the patients in the suction groups gained stage one healing up.conclusion as a method of emergency interoperative peparation,stool suction has a better healing up of anastomosis than colostomy and washing;it is advantageous to observe the healing up of anastomosis through colectomy plus stage one anastomosis and colon-outlying.

目的 探讨影响吻合口愈合因素的传统与现代观念并进一步探讨一期手术中更为合理的肠道准备方式。方法 26例降结肠癌分为造瘘组（8例）、冲洗组（9例）和粪便吸引组（9例）三组，术中分别采用3种不同方式行紧急肠道准备，所有病人均采用结肠切除一期吻合加外置的方法，对比观察三组病人的吻合口愈合情况。结果造瘘组（8例）有3例发生瘘，冲洗组有1例发生瘘，粪便吸引组全部一期愈合。结论粪便吸引作为一种术中紧急肠道准备方法，其吻合口愈合情况优于前两组；结肠一期吻合加外置的方法有利于观察吻合口的情况。

The drug concentrations in the stoma and in the tissues that were 0, 1, 3, 5, 7, 10 and 15 cm away from the imbedding point were also measured by high performance liquid chromatography

分别于植药后3、5、7、10及15 d各处死4只动物，取肠系膜及吻合口组织行病理学检查，观察肠吻合口愈合的情况，并采用高效液相色谱法分别检测不同时相吻合口处及距植药点0、1、3、5、7、10及15 cm处组织药物浓度。

Methods:clinical data of 23 cases of left-sided colonic carcinoma undergoing one-stage resection and primary anastomosis were analyzed respectively.intraoperative colonic lavage were performed in all cases.for the 14 cases which were considered to be dangerous,preventive ceostomy was performed.results:23 cases were performed one-stage resection and primary anastomosis,all patients had not any complications such as anastomatic leakage and infection of the peritoneal cavity.conclusions:have a strict control over operation indication,perform postoperative care properly, one-stage resection and primary anastomosis for acute obstruction of left hemicolonic carcinoma is safe and workable.

回顾性分析我院五年来23例左半结肠癌并急性梗阻一期切除吻合术的临床资料，所有病例均术中结肠灌洗，而认为有危险性的14例同时行预防性盲肠造瘘。结果：23例一期切除吻合术，无一例发生吻合口漏、腹腔感染等并发症。结论：严格掌握手术适应症，积极术前准备，充分结肠灌洗，对认为有危险性吻合口实行预防性盲肠造瘘，正确术后处理，左半结肠癌并急性梗阻一期切除吻合术是安全可行的。

The dags in experimental group were performed with anastomosis of intestine by using medical adhesive,while the dogs in control group were treated by using traditional modus operandi.

将分别测定两种吻合方法的操作时间、吻合口通畅程度、吻合口爆裂压、吻合口羟脯氨酸含量及标本组织病理学比较。

Surgical therapy is the first choice for the recurrent stomal ulcer with complications and BAO,MAO obviously higher,stomal resection and gastrojejunal Roux-en-y anastomosis are effective methods to treat the stomal ulcer,and conservative treatment should be chosen primarily for the patients with slightly elevated BAO,MAO.

胃部分切除术后发生吻合口溃疡的主要原因为胃酸高所致，对有明显并发症且基础胃酸、最大胃酸明显高于正常者应采取外科手术治疗，原吻合口切除、胃空肠Roux-en-y吻合是治疗吻合口溃疡的有效方法。对BAO、MAO增高不明显者可用内科治疗，效果较好。

objective to discuss treatment of acute perforation of peptic ulcer,to elevate i stage operation recovery rate.methods 208 cases in 20 years were retrospectively analysed,86 cases (41.35%) were recovered by subtotal gastrectomy;18 cases (20.93%) were undergone billroth i anastomosis;68 cases (79.07%) billroth ⅱ;42 cases (61.76%) billroth ⅱ precolonic anastomosis;26 cases (38.24%) retrocolic anastomosis.results in 86 cases,1 case was complicated by gastroparesis,others all recovered.all cases were followed up for 5 years.conclusion the procedure can shorten the recovery time and increase quality of life.

目的 探讨消化性溃疡急性穿孔的治疗方法，旨在提高ⅰ期手术治愈的成功率。方法回顾性总结分析20年间手术治疗消化性溃疡急性穿孔208例，其中86例（41.35%）采用胃大部连同病灶切除ⅰ期治愈，胃肠重建采用billrothⅰ式吻合18例（20.93%），billrothⅱ式吻合68例（79.07%），billrothⅱ式结肠前吻合42例（61.76%），结肠后吻合26例（38.24%）。结果 86例中除1例billrothⅱ式吻合术后发生胃瘫并发症，经保守治疗月余治愈外，其余病例术后恢复顺利，均随访5年以上情况良好。结论消化性溃疡急性穿孔的ⅰ期手术治疗，解决了因溃疡穿孔单行修补术后再次复发穿孔、出血、幽门梗阻、粘连、溃疡恶变而重复手术等问题，缩短了治愈周期，提高了生存质量。

There are abundant anastomoses between arteries, namely, collateral, distributing and functional networks distinguished by the differcnt calibres of the anastomosing channels.

动脉在肌内存在丰富的三重吻合：侧副吻合网，分布动脉吻合网和功能血管吻合网。

Basing on the setup of animal model of root avulsion of the brachial plexus, we divided the experimental animal into four groups by the operative method: Group A: one end of the maternal nerve graft was connected with the upper trunk of the healthy side by end-to-side neurorrhaphy, and the other end was sutured to the distal stump of musculocutaneous nerve infraclevicularly by end-to-end neurorrhaphy. Goup B: on the healthy side, the operation was the same, the other end was sutured to the distal end of C〓 by end-to-end neurorrhaphy on the affected side. Group C: the maternal nerve graft bridged the phrenic nerve and infraclevicular musculocutaneous nerve of the affected side by end-to-end neurorrhaphy. Group D: the phrenic nerve was sutured to the distal end of C〓 supraclevicularly by end-to-end neurorrhaphy.

在构建了模拟小儿臂丛神经根性撕脱伤的动物模型基础上，将实验动物按手术方式分组如下，A组：母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合，另一端与患侧已切断的锁骨下肌皮神经远端行端端吻合。B组：母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合，另一端与患侧已切断的锁骨上颈〓远端行端端吻合。C组：母鼠提供的的神经移植体桥接于子鼠患侧膈神经与锁骨下肌皮神经之间。D组：子鼠患侧膈神经直接与锁骨上颈〓远端行端端吻合。

It has been put forward that there exists single Ball point and double Ball points on the symmetrical connecting-rod curves of equilateral mechanisms.

从鲍尔点的形成原理出发，分析对称连杆曲线上鲍尔点的产生条件，提出等边机构的对称连杆曲线上有单鲍尔点和双鲍尔点。

The factory affiliated to the Group primarily manufactures multiple-purpose pincers, baking kits, knives, scissors, kitchenware, gardening tools and beauty care kits as well as other hardware tools, the annual production value of which reaches US$ 30 million dollars.

集团所属工厂主要生产多用钳、烤具、刀具、剪刀、厨具、花园工具、美容套等五金产品，年生产总值3000万美元，产品价廉物美、选料上乘、质量保证，深受国内外客户的青睐