瘘的

Methods Clinical data of 16 patients with congenital esophageal atresia and tracheoesophaged fistula were analyzed retrospectively.

方法回顾性分析16例先天性食道闭锁及食管气管瘘患儿的临床资料。

Therefore, it can effectively treat tracheal or/and esophageal stenosis or fistular cased by benign or malignancy.

因此，可以有效治疗良恶性疾病造成的气管食管狭窄和气管食管瘘。

To investigate the effect of psychological intervention on psychologic Status in rectal cancer patients with colostomy.

目的 探讨心理干预能否改善直肠癌结肠造瘘患者的心理状况。

Methods Clinical data of 51 patients with PRF were retrospectively analyzed. Among the 51 cases, 12 were treated with the ureteroscopic holmium: YAG laser lithotripsy and stenting after it, 29 with retrograde intubation under cystoscope, 10 with retrograde intubation under cystoscope and percutaneous nephrostomy.

对51例不同梗阻原因致肾后性急性肾功能衰竭的患者，采用急诊输尿管镜下钬激光碎石并置管引流（12例）、膀胱镜下逆行双J管插管（29例）、膀胱镜下逆行双J管插管联合经皮肾穿刺造瘘引流（10例）解除梗阻，回顾性分析其治疗效果。

The emergency therapeutic principle of esophageal perforation are blocking esophageal disrupture, antiinfection and nutritional support.

食管破裂穿孔急诊处理原则是闭合瘘口、控制感染、营养支持，其治疗方式根据食管穿孔时间、原因、部位、纵隔及胸腔感染等具体情况选择合理、有效、个体化的治疗方式。

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。

During a median follow-up of 28.9 months, 39 (62%) of 63 suriing patients had one or more late complications: biliary stricture in 4 (6%), pseudocyst in 5 (8%), pancreatic fistula in 8 (13%), gastrointestinal fistula in 1 (2%), delayed collections in 3 (5%), and incisional hernia in 1 (2%); interention was required in 10 (16%) patients.

在接下来的平均28.9个月中，63位生存者中有39人（62%）发生一种或更多的远期并发症：胆道狭窄4人（6%），假囊肿形成5人（8%），胰瘘8人（13%），胃肠瘘1人（2%），延迟愈合3人（5%），切口疝1人（2%）；10人（16%）需要干预治疗。63位生存者中有16人（25%）的胰腺外分泌功能不全，58位无糖尿病史的病人中有19人（33%）的胰腺内分泌功能不全。

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。