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It is safe and practical when selectively using accretion-lysis by laparoscope in treatment for accretive intestinal obstruction. This technique increases the effectiveness of the treatment.

利用腹腔镜粘连松解术有选择性地治疗粘连性肠梗阻是安全实用的,可以提高粘连性肠梗阻的治疗效果。

Methods Twelve cases of accretive intestinal obstruction received operations by laparoscope.

目的 探讨腹腔镜粘连松解术治疗粘连性肠梗阻的方法,提高粘连性肠梗阻的治疗效果。

New-style analyse palace produces conclusion not to oversew mural layer peritonaeum can make celiac straight flesh and uterus compact adhesion, bring about when the operation enters an abdomen, depart again adhesion time is long, loss of celiac straight flesh is big, adhesion is more traditional the uterus issues paragraph of analyse to produce art serious, to again the operation increased difficulty, what through new-style analyse palace peritonaeum of layer of wall yield art oversews is improved, not only the advantage that retained new-style analyse palace to produce, and the adhesion that block stopped celiac straight flesh and uterine cut, do not disturb especially and injure bladder, do not give again analyse palace is produced bring difficulty, it is a kind of very good new-style analyse palace produces improved art.

结论新式剖宫产不缝合壁层腹膜可使腹直肌和子宫致密粘连,导致再次手术进腹时分离粘连时间长,腹直肌损伤大,粘连较传统子宫下段剖产术严重,给再次手术增加了难度,通过新式剖宫产术壁层腹膜缝合的改良,不但保留了新式剖宫产的优点,而且阻断了腹直肌和子宫切口的粘连,非凡是不扰乱和损伤膀胱,不给再次剖宫产带来困难,是一种很好的新式剖宫产改良术。

Results One case with transverse mesocolon pore hernia, one with obturator hernia and one with paracecal hernia were confirmed by exploratory laparotomy. There were six cases whose hernias resulted from the fall of export jejuna into import jejuna after Billroth II anastomoses in front of colons, five from the pelvic bottoms' peritoneal fissure and four from the fissure appearing between descending colon and lateral abdominal wall after Miles' operation, one from greater omental adhesion to sigmoidal wall after sigmoidostomy, and one from inflammatory adhesion on the basis of Meckel's diverticulum. The other 17 cases' hernias (48.7%) were caused by the fissure among celiac adhesive bands, peritonea, celiac organs, enteric walls and intestines.

结果 剖腹探查手术证实为横结肠系膜裂孔疝1例;闭孔疝1例;盲肠旁疝1例;毕Ⅱ式结肠前吻合术后输出段空肠疝入输入段空肠与横结肠系膜间隙6例;Miles术后盆底腹膜裂开所致内疝5例;Miles术后降结肠与侧腹壁形成的间隙致内疝4例;大网膜与乙状结肠造口肠壁粘连形成内疝1 例;1例在梅克尔憩室基础上发生炎性粘连形成腹内疝;因腹腔粘连带与腹膜、腹腔脏器、肠壁、肠与肠之间的孔隙改变形成内疝17例(48.7%)。

The results showed that heat treatment had no obvious effect on main linkage way of the system. Between 500℃and 900℃, the crystal phase CaF_2 was precipitated firstly, with the rising of temperature and the prolonging of time, crystal phases such as Al_2SiO_5、Ca_2SiO_4 and Ca_3(PO_4)_2 were precipitated sequentially and the powder was changed from dispersive spheroidic to irregular strip that linked each other, and congregated to irregular mass, gradually.

热处理对体系的主体键连方式无明显影响;在500-900℃温度范围内,粉体优先析出CaF_2晶相,随着加热温度的升高及保温时间的延长,依次析出Al_2SiO_5、Ca_2SiO_4、Ca_3(PO_4)_2等晶相,粉体由分散的近球形颗粒转变成相互粘连的不规则带状,并逐渐聚合成不规则块状;固结体抗压强度逐渐增加后趋于平缓。

156 cases of pediatric outpatients with ostium praeputiale stenostomia, smegma praeputii residual and acrobystia-balanus accretion collected from January of 2005 to October of 2007 were randomly divided into two groups, i.e. MEBO group and erythromyein ointment group. Both groups were treated with surgeries of ostium praeputiale distention, smegma praeputii clearance, and acrobystia-balanus syneehiolysis, and then post-surgery pain was compared by visual analongue cale in the three time periods after surgeries. The observation of recovery and aerobystia re-accretion was taken over the three months following visits post surgery.

2005年1月~2007年10月门诊156例包皮口狭窄、包皮垢残留及包皮龟头粘连症的儿童,随机分为湿润烧伤膏治疗组及红霉素软膏对照组,均采用包皮口扩张、包皮垢清除及包皮龟头粘连分离术治疗,术后疼痛采用视觉类比量表(Visual analongue cale, VAS)对两组术后3个时间段疼痛程度进行对比,对比痊愈情况,同时术后观察三个月,包皮是否再粘连。

MEBO has a remarkable efficacy on the treatment of pediatric ostium praeputiale stenostomia, smegma praeputii residual, acrobystia-balanus accretion and relieving the pain, promoting wound healing and preventing re-accretion after surgeries of ostium praeputiale distention, smegma praeputii clearance, and acrobystia-balanus synechiolysis.

应用MEBO治疗小儿包皮口狭窄、包皮垢残留及包皮龟头粘连症,行包皮口扩张、包皮垢清除及包皮龟头粘连分离术,术后损伤创面的止痛效果可靠,创面愈合快,防止再粘连疗效显著。

RESULTS: Six of 12 cases had recurrent pterygium and symblepharon, meanwhile, 2 out of 20 cases had recurrent pterygium and symblepharon.

结果:接受翼状胬肉切除+丝裂霉素+睑球粘连分离术的12例患者中,术后6例翼状胬肉、睑球粘连复发;接受翼状胬肉切除+睑球粘连分离+角膜缘干细胞移植+羊膜移植术的20例患者中,术后2例患者翼状胬肉、睑球粘连复发。

Result: Seven cases were showed local adhesion between intestines;omenta and abdominal wall. One case was entensive adhesion in abdominal cavity . Five patients were performed laporoscopic operation successfully while one case had intestinal impairment and was converted to laparotomy.

结果:气腹造影CT扫描7例均清晰显示肠管、网膜与腹壁切口局限性的粘连,其余区域未见粘连,1例为腹腔弥漫性广泛粘连。5例实施腹腔镜手术均顺利,腹腔镜手术所见与术前判断完全吻合,仅1例发生1处肠管损伤。

In each case the relevant JV Party comprising the "Breaching Party" the JV Parties that together hold in aggregate a majority of the Participating Interests held other than by the Breaching Party (the "Non-Breaching Parties") may by written notice require the Breaching Party to transfer or procure the transfer of all its Participating Interest to the Non-Breaching Parties (pro rata inter se in the proportion that each Non-Breaching Party's Participating Interest bears to the aggregate Participating Interests of the Non-Breaching Parties) at the Prescribed Price with full title guarantee, free from all claims, equities, liens and encumbrances and together with all rights and benefits attaching thereto.

当相关合资方组成&违背方&时),合资方所持股比违背方,总计占绝大多数参股权益时,可以通过书面通知的方式,以完全担保指示的价格要求违背方转让或者获得转让所有它的参股权益给非违背方(按照每个非违背方所参股权益所占非违背方总的参股权益的比例),免除了所有的索赔,权益支出,滞留和留置,及另外粘连的所有权利和利益。

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