瘘的

Abstract］ Objective To discuss the influencing factors of healing up of anastomosis between traditional and morden ideas and question the more reasonable method of intestinal tract preparation in stage one operation.Methods Twenty-six patients with colon cancer were divided into 3 groups:colostomy group（8 cases）,washing group (9 cases) and suction group (9 cases).All the patients underwent colectomy plus stage one anastomosis and exteriorization with different interoperative preparation with which we compared the healing up of anastomosis within the three groups.

目的 探讨影响吻合口愈合因素的传统与现代观念并进步探讨一期手术中合理的肠道准备方式方法 26例降结肠癌分为造瘘组（8例）、冲洗组（9例）和粪便吸引组（9例）三组，术中分别采用3 不同方式行紧急肠道准备，所有病人均采用结肠切除一期吻合加外置的方法，对比观察三组病人的吻合口愈合情况。

Ultrasound,ERCP,MRCP,liver enzyme profile and reoperation confirmed the folowing: Extra-hepatic bile duct or the right hepatic duct was ligated in 9 cases,common bile duct residual stone in 6,partial gallbladder or gallbladder duct stone in 4,biliary leak in 4, cholangitic hepatitis in 4,hepatitis B or posthepatitis cirrhosis in 5,icterus after blood transfusion in 2,hemobilia in 2, ligation of right branch of hepatic artery in 2, and icterus of unknown causes in 5 cases.

经B超，ERCP，MRCP和肝酶谱及再手术等证实：肝外胆管或右肝管结扎9例，胆总管遗漏结石6例，残留胆囊或胆囊管结石4例，胆瘘4例，毛细胆管肝炎4例，乙肝或肝炎后肝硬化5例，输血后黄疸2例，胆道出血2例，肝右动脉结扎2例，不明原因黄疸5例。再手术18例，死亡1例。结论：详细的病史资料、充分的术前检查、细致的手术操作是预防胆囊切除术后黄疸的必要前提。

It is concluded:①The method does not traumatize the periosteum of the hard palate,thus alleviating postoperative maxillary deformity;②The buccal musculomucosal flap is generally long enough to reach across the incisive foramen and maintain good blood circulation;③The method benefits reconstruction of the levator sling and facilitates velopharyngeal closure.

该方法有以下优点：①手术不剥离硬腭区粘骨膜，对上颌骨的损伤很小，减轻了上颌骨的发育障碍；②采用两块带蒂颊粘膜肌瓣重建了腭帆提肌功能，促使异位的提肌悬吊再形成；③血运良好的颊粘膜肌瓣插入于软硬腭交界处，能使软腭充分后退，实现腭咽闭合，而且可有效地防止瘘孔的发生。

" Articularly in cases presenting with gangrenous sigmoid volvulus, addition of a modified blow-hole colostomy appears to be a promising procedure to prevent anastomotic leaks,\" Dr.

&特别是并发气性坏疽的乙状结肠扭转，附加改良的小切口肠造瘘是一种预防吻合口漏的手术方式，&来自土耳其，盖遮普的盖遮普医科大学的Dr。

The value of preopera- tive esophageal insufflation test, indications of this procedure, the advantages of the new surgical technique, and possible factors affecting successful TE speech were discussed. The TE fistula with using voice prosthesis technique has proved to be a rela- tively simple, safe and effective method of alaryn- geal speech rehabilitation.

本文就手术适应症、术前食管充气试验的意义，新手术技术的优点及影响气管—食管语言功能的因素等进行了讨论，认为行气管—食管造瘘术并应用发音管是—简单、安全、有效的无喉语言重建方法。

The application of clotting drug is one of the important factors for recovery of transplanted pancreatic function. Jejunostomy is an important therapeutic measure to prevent the reflux of intestinal juice to the transplanted pancreas in perioperative period. In the follow-up period cathartic drugs are recommended to prevent constipation and reduce the occurrence of acute pancreatitis caused by intestinal fluid reflux.

凝血药物的应用是移植胰腺功能恢复的重要因素之一，空肠造瘘是围手术期预防肠液向移植胰腺返流的重要治疗措施，且移植后随访期建议应用通便药物，预防便秘发生，减少肠液返流引起的急性胰腺炎的发生。

Genentech and FDA notified healthcare professionals of important new safety information regarding tracheoesophageal fistula formation in a recent clinical study in patients with limited-stage small cell lung cancer.

2007年4月21日，Genentech公司和FDA提醒健康专业人士注意最新的重要安全信息——最近的一项临床试验中，接受贝伐单抗治疗的局限型小细胞肺癌患者出现气管和食管的瘘道。

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。