瘘

6 cases of urethostenosis, 2 cases of urotithiasis and 1 case of urethral valves were cured one time. They were followed up from 10 months to 6 years and no dysuria occurred. 2 cases of external plank shedding after ureteropelvioplasty were treated with a placement of internal plank through the renal fistulization. The placement and evulsion of internal plank were carried out one time in 8 cases of ureteric calculi (the length of one calculi was as long as 4cm) and 12 cases of ureteropalsty. In 5 cases of upper remotion of internal plank, 4 cases were pulled out successfully and one failed to draw out. The effect is satisfactory to treat urological diseases by means of ureteroscopy in children.

结果 6例尿道狭窄、2例尿道结石、1例尿道瓣膜均一次性治愈，随访10个月~6年，无排尿异常。2例肾盂输尿管成形术后外支架管脱落经肾造瘘口放置内支架；8例输尿管结石（1例石街长约4cm）、12例输尿管成形术后内支架置入和／或拔出均一次完成。5例内支架上移中4例顺利拔出，1例失败、结论输尿管镜对小儿尿路系统大部分疾病的处理有满意效果。

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。

To evaluate the clinical value of intrathoracic esophagogastric "layer-to-layer" anas tomosis with esophageal mucosa extended varied in plane and to study the effective methods to prevent anastomotic leaking or stricture postoperatively.

目的 评价胸内食管黏膜延长不同平面与胃、食管分层吻合术，探讨预防食管吻合口瘘和吻合口狭窄发生的吻合方法。

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。

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.

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。

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.

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。

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.

目的 探讨影响吻合口愈合因素的传统与现代观念并进步探讨一期手术中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 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。

This report demonstrates the use of fibrin sealants to decrease the incidence of pancreatic fistula.

本报告表明纤维蛋白封闭剂的使用能降低胰瘘的发生率。

In fact, the study revealed that PCPs misdiagnose 70% of anal fissures, 50% of warts, and 40% of fistulas.

该研究显示初级保健医生误诊了70％的肛裂、50％的疣和49％的肛瘘。

objective:to study the characteristics and rules of the diagnosis and treatment method of tuberculosis and fistula.

目的：研究结核性肛瘘诊断和治疗方法的特点和规律。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。