瘘

The results of 29 cases of pancreatitis light, not heavy-duty case, no complications, an average of 10.5 days time to heal. 7 cases of severe pancreatitis complicated by only 1 case of fistula, abscess and lunwen114weeks without pancreatic pseudocyst, and other complications.

结果 29例轻型胰腺炎，无一例重型化，无并发症，平均治愈时间10.5天。7例重型胰腺炎中仅并发十二指肠瘘1例，无胰周脓肿及假性囊肿等并发症。

A dedicated doctor blind to the study was appointed to collect the indicators as follows: x-ray exposure time,Post-PCI bed-staying time,complications rates associated with puncture bleedidng, hematoma, radial pulselessness, artery-venous fistula,leg deep venous thrombosis formation,vascular access failure rates, acute LHF rates.

观察并对比如下指标：X线曝光时间，术后卧床时间，与穿刺相关的并发症发生率（出血、血肿、无脉征、动-静脉瘘等），下肢深静脉血栓形成，血管进入失败率，术后卧床期间急性左心衰的发生率，体循环及肺循环栓塞的发生率。

The pressing time after puncturation in the arteriovenous fistulae, different coagulation parameters and blood coagulation in the dialyzer were evaluated in the 2 groups.

比较76例高危出血倾向血液透析患者在透析前用小剂量肝素和低分子肝素处理后动静脉瘘穿刺点压迫所需时间、透析后透析器及管路凝血情况。

Methods The diagnosis was obtained by using ultrasound, KUB, CT and cystoscopy retrograde urography. Obstruction was relieved by treatment with ESWL, one or bilateral ureterolithotomy, pyelolithotomy, ureterocatheterization or pyelostomy.

通过B超、KUB、CT膀胱镜逆行插管检查明确诊断，通过ESWL一侧或双侧输尿管切开取石，肾盂切开取石，输尿管内置双J管或肾造瘘等方法治疗解除梗阻。

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。

Objective To investigate the causes and outcome of different treatment methods of iatrogenic rectovaginal fistula.

目的探讨医源性直肠阴道瘘的形成原因和各种治疗方法。

Objective To explore the causes and management strategies of rectovaginal fistula after anterior resection for rectal cancer.

目的 研究和探讨直肠癌前切除术后并发直肠阴道瘘的原因及对策。

Results The reasons of the rectovaginal fistula were versatile,but the iatrogenic reasons occupied the most part in recent years.

结果直肠阴道瘘原因是多方面的，但近年来医源性因素占了绝大部分。23例患者中，21例采用手术治疗，2例因癌症晚期死亡，随访19例未复发。

Methods Clinical and followup data of 11 patients with postoperative rectovaginal fistula after anterior resection for rectal cancer from March 2004 to August 2006 were reviewed.

2004年3月至2006年8月，根据电话和门诊随访结果以及病历记录，回顾性总结多中心11例直肠癌前切除术后并发直肠阴道瘘的原因及治疗效果。

The technique of transanal repair in combination with transvaginal repair for the treatment of rectovaginal fistula complicated by anterior resection is effective and safe, no requirement to divide the perineal body and anal sphincter, with less postoperative complications and no incontinence.

采用经肛结合经阴道修补治疗直肠癌前切除引起的单纯性直肠阴道瘘是安全有效的，不需要切断会阴体和肛门括约肌，并发症少，无肛门失禁发生。

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。