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Abstract] Objective To describe an effective and simple method for repairing vesicovaginal fistula using an acellular dermal matrix allograft.

摘要] 目的评价同种异体脱细胞真皮基质在膀胱阴道瘘修补术中的应用价值。

It is not known whether infliximab is an effective maintenance therapy for patients with fistulas.

目前尚不清楚 infliximab 是否也是一种对有瘘道病人有效的维持治疗。

Conservative treatment is necessary for all patients with intestinal fistulas before curible operation is considered.

收集1994年12月~2004年12月本院收治的腹部手术后并发肠外瘘42例临床资料进行回顾性分析。

Most adverse events were infections, but also three lymphoceles, three urinary fistulas, three wound seromas.

最主要的不良事件为感染,但还出现3例淋巴囊肿、3例尿瘘、3例创面血清肿。

It is reported that the covered stent effectively occludes aneurysm, dissecting aneurysm and arteriovenous fistula, keeps patency of the parent artery.

已有报道说明应用带膜支架可有效的闭塞动脉瘤、夹层动脉瘤、动静脉瘘等病变,且能保持载瘤动脉通畅。

Once common in Europe and the United States, cases of obstetric fistula now occur almost entirely in the developing world where poor nutrition and girls giving birth before their pelvises fully developed contribute to the risks.

在欧洲和美国,产科瘘一度非常普遍,如今这种疾病几乎遍及所有发展中地区--营养缺乏以及女性在骨盆发育成熟之前生育都增加了罹患此病的风险。

Results: The causes of 56 patients who died were as follows: 29 patients died from the complication of respiratory system,11 patients died from anastomotic leaking,6 patients died from hemorrhagic shock,3 patients died from multiple organ failure, 3 patients died from whole body failure caused by chylopleura, 1 patient died from empyema and gastric necrosis, 1 patient died from sudden cardiac death, 1 patient died from heart failure, 1 patient died from strangulating intestinal obstruction and toxic shock caused by diaphragmatic hernia.

结果:56例死亡患者的死亡原因:肺部并发症29例(51.8%),吻合口瘘11例(19.6%),失血性休克6例(10.6%),多器官功能衰竭3例(5.4%),乳糜胸致全身衰竭3例(5.4%),胃后坏死、脓胸1例(1.8%),心脏性猝死1例(1.8%),心力衰竭1例(1.8%),膈疝引起绞窄性肠梗阻中毒性休克1例(1.8%)。

Methods From June 2002 to June 2007, 120 cases with high anal fistula were randomly divided into two groups: 60 cases underwent incision, thread drawing and suture procedure, 60 cases underwent incision, thread drawing and drainage procedure.

对2002年6月至2007年6月收治的120例高位肛瘘患者随机分成切开挂线选择性缝合组(治疗组,60例),切开挂线组(对照组,60例),对两组治愈时间、治愈率、术后疼痛、术后肛门功能进行对照分析。

Methods:from april 2000 to june 2004, 135 cases with complex anal fistula were analyzed respectively who were treated by incision and thread drawing, incision suture of internal opening plus drainage, fistulectomy and primary suture, fistulotomy.results:all cases were followed up for 5 to 10 months(average 7.2 months).

回顾性分析2000年3月至2004年12月复杂性肛瘘患者135例,分别进行切开挂线术、切缝内口引流术、瘘管摘除缝合术、瘘管旷置术等不同手术方法的处理。

Methods:From April 2000 to June 2004, 135 cases with complex anal fistula were analyzed respectively who were treated by incision and thread drawing, incisionsuture of internal opening plus drainage, fistulectomy and primary suture, fistulotomy.Results:All cases were followedup for 5 to 10 months(average 7.2 months).

回顾性分析2000年3月至2004年12月复杂性肛瘘患者135例,分别进行切开挂线术、切缝内口引流术、瘘管摘除缝合术、瘘管旷置术等不同手术方法的处理。

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