瘘的

The rational nutritive cure can improve the nutritive status of the patient and advance the concrescence of the fistula, and play an important affection in the drop of the amalgamative symptom and the death rate.

合理的营养治疗是保证肠瘘病人不出现营养衰竭的根本条件，可以改善病人营养状况，促进瘘口的愈合，在降低并发症和死亡率方面有特别重要的作用。

Methods:clinical data of 23 cases of left-sided colonic carcinoma undergoing one-stage resection and primary anastomosis were analyzed respectively.intraoperative colonic lavage were performed in all cases.for the 14 cases which were considered to be dangerous,preventive ceostomy was performed.results:23 cases were performed one-stage resection and primary anastomosis,all patients had not any complications such as anastomatic leakage and infection of the peritoneal cavity.conclusions:have a strict control over operation indication,perform postoperative care properly, one-stage resection and primary anastomosis for acute obstruction of left hemicolonic carcinoma is safe and workable.

回顾性分析我院五年来23例左半结肠癌并急性梗阻一期切除吻合术的临床资料，所有病例均术中结肠灌洗，而认为有危险性的14例同时行预防性盲肠造瘘。结果：23例一期切除吻合术，无一例发生吻合口漏、腹腔感染等并发症。结论：严格掌握手术适应症，积极术前准备，充分结肠灌洗，对认为有危险性吻合口实行预防性盲肠造瘘，正确术后处理，左半结肠癌并急性梗阻一期切除吻合术是安全可行的。

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）。

objective: to investigate diagnosis and treatment choice of detrusor hypoactivity with impaired contractile function on voiding function in benign prostatic hyperplasia.methods:the clinical date of 48 bph patients with dhic were analyzed,including clinical diagnosis,urodynamic parameters,treatment and follow-ups.results:37 patients with detrusor instability and over 40 cmh2o bladder pressure were treated successfully by turp.the time of indwelling suprapubic punctural cystostomy cathter was(1~8)weeks.11cases without di and under 40 cmh2o bladder pressure were treated by suprapubic punctural cystostomy,accepted the test of urodynamics after(1~3)months.7 cases with di were treated successfully by turp,4 cases without di were indwelled suprapubic punctural cystostomy cathter all life.conclusion:dhic worsens the voiding function of the patients with bph,and the test of urodynamic is helpful to diagnose and could provide more convinced evidences for treatment of patients.

分析膀胱过度充盈所致逼尿肌损伤，引起膀胱逼尿肌收缩无力良性前列腺增生48例患者的临床资料，包括诊断，尿动力学检查，治疗及随访结果。结果：37例经尿流动力学检查，诱发存在逼尿肌不稳定，伴膀胱内压达40 cmh2o以上，采取turp，术后留置膀胱造瘘管（1~8）周后全部拔除，排尿通畅。11膀胱内压始终未达到40 cmh2o，且在膀胱注水充盈过程中无逼尿肌不稳定出现，行膀胱造瘘后出院，（1~3）个月后经尿动力学检查复查膀胱逼尿肌收缩力，其中7例膀胱逼尿肌收缩功能有恢复，行经尿道前列腺汽化电切术治愈；剩余4例膀胱逼尿肌收缩功能几乎无任何改善。长期留置膀胱造瘘治疗。结论：良性前列腺增生导致膀胱过度充盈所致逼尿肌损伤，引起膀胱逼尿肌收缩无力患者，术前应用尿流动力学检查对膀胱逼尿肌损伤程度进行认真分析，可进行有针对性的治疗。

Ascites has been reported after kidney transplantation due to rejection, decapsulation of the graft, urinary or vascular leak, lymphocele, transudation, or infection.

肾移植后腹水的原因可能有排斥反应、移植肾包膜的剥脱、尿瘘或脉管瘘、淋巴囊肿、渗出物或感染。

Effectiveness of successful fistulae after 6 years was up to 92%.

结果 显微外科血管吻合术制作的内瘘成功率高，并发症少，6年的内瘘通畅率达90%以上。

Results The arteriovenous fistulae could supply enough blood flow and had less complications.

结果 显微外科血管吻合术制作的内瘘成功率高，并发症少，6年的内瘘通畅率达90%以上。

The injection time was correlated to the size of orificium fistulae, and the plugging was successful for 4 patients with less than 3 mm orificium fistulae.

注射次数以及住院时间与瘘口大小有一定的联系，瘘口小于3 mm的4例患者均一次封堵成功。

Moreover, why it was difficult to cure urinary fistulae was discussed, and the key points in the diagnosis were illuminated.

得出：肾移植后尿瘘一旦发生，应对它的病因及尿瘘部位迅速做出判断，只有这样才能确保选择最佳治疗方案，达到最好的效果。

Fifty-three patients with 67 hydronephrosis were collected. All of them were taken the color Doppler test of resistent index of kidney artery, renal parenchma before and after fistulation.

检测53例患者67个积水肾经穿刺造瘘治疗前后的肾动脉血流的阻力指数，测量积水肾治疗前后的实质厚度，与肾穿刺造瘘治疗后24h引流量比较并分组。

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。