瘘的

2The anterior cutereous branches of the obturator artery penetrate deepfascia of thigh and epimysium of the adductor muscles closing against the lower rami of pubisor at its outer margin.Pudendal-thigh skin flap pedicled on it may be elevated to repairrectovaginal fistula or small skin defects of perineum.As its piercing point is much higher andthe location of pedicle is more fixed because of restriction of pubic rami,it is not suited toreconstruct new vagina.Moreover,it is not appropriate naming the obturator aretry(or themedial femoral circumflex artery)the pudendal-thigh artery.

闭孔动脉前皮支紧邻耻骨下支或于其外侧缘，穿大腿深筋膜和内收肌肌膜浅出，以之为蒂可以形成皮下蒂阴股沟岛状皮瓣，用于阴道直肠瘘或会阴部较小皮肤缺损的修复，但由于闭孔动静脉前皮支浅出点位置较高，并且由于耻骨下支的阻挡和限制，致使血管蒂的位置较为固定，以之为蒂形成的阴股沟皮瓣不适宜用于阴道再造；另外，将闭孔动脉命名为阴股沟动脉，也有欠妥帖。

A series of complications may emerge in the course of therapy.Now most doctors recommend that CAF should get early open reduction and internal fixation.But for the patients who were accompanied with colostomy,cystostomy,bedsore,contunding and infected skin near the approach,how to determine the indications,manage and win the opportunity of operation to improve the quality of life is a significant topic for study and discussion.

目前，多数学者主张复杂性髋臼骨折尽量争取早期手术切开复位内固定，对于合并有结肠、膀胱造瘘、褥疮和入路附近皮肤挫伤感染的复杂性髋臼骨折，如何确定手术指征、争取手术时机、采用合理的术式、改善患者愈后生活质量是复杂性髋臼骨折治疗过程中面临的一个重要课题。

Methods:Of 70 cases with traumatic pelvic fracture associated with injuries of other organ, 16 were treated by lienectomy, 7 were treated by liver repair, 6 were treated by colon operation, 6 were treated by intestine inosculation, 4 were treated by bladder fistulatome, 10 were treated by ligation of internal iliac arteries, 1 was treated by half-pelvic excision, 4 were treated by angioembolization, 5 were treated by conduction.

目的：探讨外伤性骨盆骨折合并其他部位伤的诊治方法及最佳适应证方法：对71例外伤性骨盆骨折合并其他部位伤的病例进行不同方法的诊治：脾切除16例，肝修补7例，结肠手术6例，小肠修补吻合6例，膀胱造瘘4例，髂内动脉结扎10例，半骨盆离断术1例，髂血管探查取栓4例，胸腔闭式引流5例。

The ureteroscopic holmium: YAG laser lithotripsy can he the first choice for the post-renal acute renal failure associated with upper urinary tract stones, due to its safety and efficiency. At the same time, retrograde intubation under cystoscope and percutaneous nephrostomy will be helpful.

上尿路梗阻是肾后性急性肾功能衰竭的主要原因，如能明确是结石引起的肾后性肾功能衰竭，应首选输尿管镜下钬激光碎石并置管引流；如不能明确，膀胱镜下逆行插管和经皮肾穿刺造瘘引流也是可行的急诊有效方法。

Results Out of the4527paˉtients treated by ESWL,stones were excreted completely from4512patients within2weeks;12patients who had comˉplication of the urethra stone street were cured by transcutaneous nephrocentesis,nephrostomy and ureterolithotomy through uretercystoscope;stones weretaken out by operation from the other3patients,from whom the excretion of stones was not possible.

目的 探讨ESWL治疗泌尿系结石的效果。方法回顾性分析经ESWL治疗的4527例泌尿系结石病人。结果经ESWL治疗的4527例泌尿系结石病人中，4512例在2周内排尽结石，12例并发输尿管&石街&，加用经皮肾穿刺造瘘和输尿管镜取石治疗，3例中转手术治疗。

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。

Methods A strain of Propionibacterium acnes from rumen fluid of health cow with permanent rumen fistula under sterile condition was isolated by segregation procedure of anaerobic bacterium and specific medium SLB, and identified by extraction of the genome DNA of isolation bacterium, clone of the 16S rRNA gene, and sequencing of the strain.

无菌采取装有瘤胃瘘奶牛的瘤胃液，按照厌氧菌分离步骤，通过丙酸生成菌株的特异性培养基SLB进行筛选，提取分离菌的基因组DNA，克隆其16S rRNA基因，进行序列测定，分离出一株痤疮丙酸杆菌。

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。

Objective To study the effect of different enteral nutrition regimes on the nutritional and metabolism status of the malnourished patients with intestinal fistulas.

目的 研究适当提高肠内营养能量与蛋白质的供给对重度营养不良的肠瘘病人营养状况、能量代谢和脏器功能的影响。

Results: 3 cases of gall duct injury, 2 cases of remained cystic duct fistulas, 2 cases of convertion into open surgery due to tear of posterior branch of cystic artery Conclusion: Strict preoperative examination and operation protocol can greatly reduce the complications of laparoscopic cholecystectomy.

结果：胆管损伤3例，胆囊管残端瘘2例，胆囊动脉后支撕脱出血中转开腹止血术2例。结论：严格的术前检查和规范的手术程序可大大减少腹腔镜胆囊切除术后的并发症。

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。