疝的

Objective To evaluate the role of CT in the diagnosis of abdominal wall hernias.

目的：研究CT检查在腹壁疝诊断中的临床价值。

Hermia and Lysander confide their plan to her and wish her luck with Demetrius.

疝和莱桑德倾诉自己的计划，她和祝她好运德梅。

Additionally, this prevents postoperative pain secondary to denervation caused by mechanical pressure and/or ischemia.

此外，不结扎疝囊可以防止因机械压力或缺血引起的术后疼痛。

Objective To evaluate the clinical effect of the application of acellular dermal matrix patch in herniorrhaphy.

目的 探讨脱细胞真皮基质补片在腹部疝修补术中的临床应用效果。

Objective: To compare the diagnostic value of X-ray and endoscopy in hiatus hernia and their value of application.

目的：比较X线与内镜在裂孔疝诊断中的价值及探讨二者应用优选问题。

Results Ultrasound studies have demonstrated that 14 cases chromosomal defects are associated with multiple fetal abnormalities, including 11 cases cardiac abnormalities (78.6%), 9 cases hydroamniofluids (64.3%), 8 cases mild ventriculomegaly (57.1%), 7 cases fetal growth restriction (50%), 5 cases abnormal umbilical arterial doppler waveforms (35.7%), 4 cases esophageal atresia (28.6%), 3 cases exomphalos (21.4%), 1 cases clubhands (7.1%), 1 cases cleft lip (7.1%).

结果 14例胎儿产前超声检查均发现二项以上的超声表现异常，其中心脏结构异常11例（78.6%）；羊水过多9例（64.3%）；脑室增宽8例（57.1%）；胎儿生长受限7例（50%）；脐动脉血流指标增高5例（35.7%）；食道闭锁4例（28.6%）；脐疝3例（21.4%）；腕关节异常1例（7.1%）；唇裂1例（7.1%）。

TEP of free balloon separator with no stapling patch is safe,reliable, less post-operative complications and especially suitable for bilateral hernia.

免气囊分离器不钉合补片的TEP同样安全、可靠，术后并发症较少，尤其适合于双侧疝。

Results In all these cases, there are 83 cases origin from mucous membrane which include inflammation, tumor and anabrosis; 24 cases origin below mucous membrane which include interstitialoma, lymphoma and scleroderma;38 cases mainly changed in the shape, structure and position of organs which include hiatus hernia, Oblique inguinal hernia, diverticulum, malrotation of intestine and megacolon; 29 cases mainly changed in the power and function of organs which include functional disorder of esophagus, mesentery-compressed syndrome funtional disorder of small intestine and irritable colon; 17 cases' performance caused by the factor outside intestinal canal which include mesentery shift, stomach shift and small intestine shift, and other cases which include fistula between esophagus and mediastinum, rectovaginal fistula, foreign body in esophagus and small intestine ascariasis.

结果：197例患者中，源于黏膜的病变83例，源于黏膜下的病变24例（包括间质瘤、淋巴瘤、硬皮病），以器官形态、结构、位置改变为主的病变38例（包括食管裂孔疝、腹股沟斜疝、憩室、肠旋转不良、巨结肠），以器官动力、功能改变为主的病变29例（包括食管功能紊乱、肠系膜压迫综合征、小肠功能紊乱、结肠过敏），因管腔外因素的影响而引起的改变17例（包括食管移位、胃移位、小肠移位），其他病变6例（包括食管纵隔瘘、直肠阴道瘘、食管异物、小肠蛔虫症）。

Nevertheless, even if the affected bowel loops at the abnormal anatomic location are not dilated and small internal hernias with low-grade obstruction are detected, we recommend that surgical colleagues use appropriate care to decrease hernial strangulation. Examples of such care include carefully monitoring the patient's vital signs and physical examination results or performing follow-up CT or gastrointestinal studies enhanced with intraluminal contrast material, including CT enteroclysis.

尽管处于异常解剖部位的受累肠管没有扩张，腹内疝较小，梗阻程度较轻，我们也推荐外科同事给予适当的护理减小疝性绞窄，例如详细的监护病人生命体征、进行体格检查、复查CT、使用管腔内造影剂的胃肠增强检查，包括CT肠造影术。

There are a few reports of features of internal hernia on CT. The largest series was a retrospective review of 17 patients by Blachar et al. They put forth the following CT findings in internal hernia:(1) evidence of small-bowel obstruction,(2) a cluster of small-bowel loops,(3) a saclike mass of small bowel,(4) crowding of mesenteric vessels, and (5) displacement of the mesenteric trunk.

有几篇关于腹内疝CT表现的报道，其中最大的研究是由Blachar等人对17例病例所作的回顾性分析，他们提出以下的腹内疝CT表现：（1）小肠梗阻的证据；（2）小肠肠管堆积；（3）小肠的囊性团块；（4）肠系膜血管拥挤；（5）肠系膜蒂的移位。

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。