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The proximal and distal nerve stumps were sutured l cm apart, in an end-to-side fashion like "π", to the epneurium windows, opened by removing the epineural sheath on the intact tibial nerve trunk with 1 mm long.

方法将大鼠右侧腓总神经在胭窝处剪除约5mm后,将断裂的腓总神经近端和远端分别就近与同侧胫神经上的外膜窗施行端侧吻合,吻合口间距约10mm;动物存活24个月后,将手术侧近端吻合口以上胫神经剪断,再将辣根过氧化物酶注入远段腓总神经干内,72h后取材并经四甲基联苯胺显色显示脊髓L3-6节段神经元和L4、L5脊神经节细胞,同时取腓总神经远段行电镜观察神经纤维再生状态。

OBJECTIVE: To investigate the hemodynamic changes of the end-to-end anastomosed arteries with nitinol clips.

目的 探讨镍钛合金血管吻合夹吻合血管后吻合口部的血流动力学变化。

Three types of reconstruction procedures, including Orr-type Roux-en-Y esophagojejunostomy, P-type jejunal pouch Roux-en-Y esophagojejunostomy and distal jejunal aboral pouch Roux-en-Y esophagojejunostomy, were performed.

全胃切除后消化道重建分别采用全胃切除术后消化道重建Orr式Roux-en-Y食管空肠吻合术、P型空肠袢食管空肠Roux-en-Y吻合术和远端空肠反口贮袋的Roux-en-Y食管空肠吻合术。

Patients with ischemic CRVO have more severe situations and high risk factors of later neovascular complications occuring, the surgery of via a pars plana vitrctomy combined chorioretinal venous anastomosis can be the newest attempting treatment.

1对象;选择成年有色家兔19只38只眼,排除死亡2只4眼和术后影响观察的浙江大学博士学位论文并发症2眼,共计入选17只兔子32只眼球,被随机分成正常组2眼,对照组8眼和3个治疗组单纯穿刺吻合组(T a6眼:吻合联合不吸收材料植入组6眼:吻合联合可吸收材料植入组10眼。

The descending one is the continuing of dorsal branch, it crosses the ulnar edge of the fifth metecarpal bone and anastomizes with the digital artery of little finger or hypothenar branch of deep palmar (accounted for 70%).

降支为腕背支的延续,经第5掌骨尺侧缘直达掌骨头颈处与小指动脉尺侧支或掌深弓小鱼际支相吻合占70%;降支至豌豆骨附近变为纤细,由小指动脉尺侧支或掌深弓小鱼际支上行与之吻合占30%;吻合外径(0.5±0.1) mm。

satisfying provision before operation and perfect anastomotic technology play key roles in preventing anastomotic leakage, correct judgement and valid method are premise of cure.irrigation and drainage through presacral double-cavity tube is a simple, safe and less suffering method to treat anastomotic leakage after anus-preserved operation for low rectal cancer.

充分的术前准备和良好的吻合技术是防止吻合口漏发生的关键。正确判断吻合口漏的发生及采用正确的处理方法是治疗的前提,双腔引流管加肛管引流是保守治疗吻合口漏的有效方法。

Thirty-five patients with carcinoma of the lower rectum were completed the cutting operation passing the belly in Dixon operation, clamping the sigmoid at the 5 cm of location for anastomosis passing anus to insert one piece of 22# foley urea pipe, using 15-20 mL of water filling into urea pipe ball bag, then pulling urea pipe to stop with clear blockage, and passing urea pope forward recta cavity to fill 100-150 mL of methylene blue dilution to observe the opening of anastomosis.

探讨直肠癌行低位Dixon手术,术中采用肠腔封闭式加压灌注检测及术后放置支架管引流对吻合口瘘的预防作用。1本组低位直肠癌患者经腹腔完成直肠癌直肠前切除吻合后,用肠钳在吻合口上端5cm处钳夹肠管,再经肛门插入1条22#Foley尿管,尿管球囊注入15~20mL水后向外拖动尿管至有明显阻力时停止。

Methods A retrospective analysis was performed in 14 cases of urinary obstruction among 1090 cases of transplanted kidney in the year 2000-2006, including 9 cases of vesicoureteral anastomotic stricture, 6 of whom received a second vesicoureteral anastomosis, one had infection surrounding the renal graft and ureter end necrosis, two ureteral anastomosis with bladder muscle flap, and one stenostomia aerocyst distention under ureteroscope.

回顾总结2000-2006年我院1090例肾移植患者中的14例移植后上尿路梗阻患者,其中输尿管膀胱吻合口狭窄9例,6例行膀胱输尿管二次吻合手术,1例移植肾周感染输尿管末段坏死采用移植肾近端新鲜存活输尿管与自体输尿管吻合,1例采用膀胱肌瓣代移植输尿管,1例采用输尿管镜下气囊扩张后放置双J管。

Methods 136gastric cancer patients,who underwent total gastrectomy using threereconstruction proceˉdures between1993and2002,were retrospectively evaluated with their digestive symptoms and nutritional status.The three procedures are Braun anastomosis,Roux-en-Yreconstruction and Roux-en-Y with P-shaped anasˉtomosis.Results Both RY and PRY reconstruction have superiority in anti-esophagus reflux than Braun anastomosis.

1993~2002年行全胃切除术的136例胃癌患者,分别采用袢式空肠代胃+Braun吻合、单纯Roux-en-Y吻合和Roux-en-Y吻合+P形代胃三种方式重建消化道,对这些患者进行回顾性分析,以术后的消化道症状和营养状况作为评价依据。

Abstract] objective to investigate anus sphincter preserved surgical method and indication for low rectal cancer.methods 15 cases with low rectal cancer were operated with eversion and pull-through anus preserved colorectal anastomosis through anus.results no patients died of operation,no patients was with fistula and stricture of anastomosis,no defecation incontinence happened after postoperative 20 weeks,only one patient was with local recurrence.following up for 8 months to 5 years,5 cases were with distant metastasis,4 of these died,one of these had lived with liver metastasis for 3 years.conclusion the indication of anus preserved operation should be chosen according to clinical stage and biological characteristic of rectal malignancy; eversion and pull-through anus preserved colorectal anastomosis through anus is a better anus preserved operation for low rectal cancer.

目的 探讨低位直肠癌保留肛门括约肌功能的手术方法和手术适应证。方法对低位直肠癌经腹经肛门直结肠外翻拉出保留肛门吻合术15例。结果全组无手术死亡,未发生吻合口漏和吻合口狭窄,局部复发1例,20周左右恢复正常排便排气功能,无大便失禁病例。随访8个月~5年,5例为远处转移,死亡4例,其中1例肝转移3年仍生存。结论根据直肠癌的临床分期和肿瘤的生物学特性选择保肛手术适应证,经腹、肛门齿线上直肠癌根治性切除,行肛门直结肠外翻拉出吻合是低位直肠癌较好的保肛术式。

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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

The eˉtiology of hemospermia is complicate,but almost of hemospermia are benign.

血精的原因很,以良性病变为主。