瘘

Objective To explore a simple and effective technique in prevention of pancreatic leakage after pancreatoduodenectomy .

目的 探讨胰十二指肠切除术中简单而有效地预防胰瘘的手术方法。

Methods From January 2003, clinical data of 68 cases of patients underwent pancreatoduodenectomy with insertion and purse-suture technique of pancreas-gastric anastomosis were retrospectively reviewed, the characteristic of this technique as well as its value and feasibility were analyzed .

方法对自2003年1月以来采用插入式荷包胰胃吻合法的68例胰十二指肠切除术患者进行回顾性分析，分析该术式的特点及在预防胰瘘中的价值和可行性。

ObjectiveTo explore the clinical value of different MR sequences in diagnosis of perianal fistula.

目的比较不同磁共振成像序列对肛瘘病变的显示，探讨其在临床诊治中的应用价值。

Objective:To evaluate the efficacy of compound carraghenates cream after operation for anal fissure and perianal abscess.

目的：观察复方角菜酸脂乳膏对肛瘘和肛周脓肿术后的效果，寻找一种安全有效的术后换药药物。

Objective:To evaluate the efficacy of compound carraghenates cream after operation for anal fissure and perianal abscess.

目的：观察复方角菜酸脂乳膏对肛瘘和肛周脓肿术后治疗的效果，寻找一种安全有效的术后换药药物。

Methods MRI was performed on fifteen cases of clinically suspected perianal fistula.

目的 比较不同磁共振成像序列对肛瘘病变的显示，探讨其在临床诊治中的应用价值。

Results:According to their anatomic location and vascular morphology,there were SDAVF in 3 cases,giant perimedullary AVF in one and intramedullary AVM in two.

结果：根据病变位置和血管形态、血流动力学改变，本组有3例符合硬膜动静脉瘘，1例为髓周的巨大AVF，2例为髓内型。

Results: According to their anaomic location and vascular morphology, there were SDAVF in 3 cases, giant Perimedullary AVF in one and intramdullare AVM in tWo.

结果：根据病变位置和血管形态、血流动力学改变，本组有3例符合硬膜动静脉瘘，l例为髓周的巨大AVF，2例为髓内型。

Materials and Methods: Of 62 patients with spinal AVMs which confirmed by MRI, DSA and/ or pathology, 30cases had intramedullary AVMs(13 occult AVMs, 5 glopular AVMs, and 12 juvenile AVMs), 24 cases had perimedullary AVF (5 type I , 12 type Ⅱ, and 7 type Ⅲ), and 8 cases had dural AVF.

材料和方法：收集了62例经MRI、DSA和手术病理证实的髓血管畸形患者，其中髓内隐匿型动静脉畸形13例、球形AVMs 5例、幼稚型AVMs 12例：髓周膜内动静脉瘘I型5例、Ⅱ型12例、Ⅲ型7例；硬膜型AVF8例。

Results Of the 21 patients, 5 showed transplanted kidney swelling alone, 8 showed transplanted kidney swelling and perinephric dropsy, 1 showed atrophy and function failure of both kidney, 2 showed perinephric hemorrhage, 1 showed multiple small cysts, small calculi and perinephric dropsy of transplanted kidney, 1 showed ureteral fistula, ureteral stricture, hydronephrosis and infarct of subsegment kidney, 1 showed hydronephrosis and ureteral calculi, 1 showed swelling and pyonephrosis, and 1 showed rupture of transplanted kidney.

结果 21例患者中5例仅表现为移植肾肿胀，8例表现为移植肾肿胀并肾周积液；1例为双肾萎缩伴功能丧失；2例表现为移植肾周积血；1例表现为移植肾多发小囊肿、小结石并肾周积液；1例表现为移植肾输尿管旁尿瘘伴输尿管狭窄及肾积水、亚段肾梗死；1例表现为移植肾积水并输尿管结石；1例表现为移植肾肿胀，肾盂内积脓；1例表现为移植肾破裂。

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。