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缝合

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Objective To probe the effect of treatment and operative means of choledocoscopy.Methods 34choledocholithasis patients were treated by cholecystectomy and choledochotomy under laparoscopy combined with fibro-optic choledocoscopy,and one-stage suture or T-shaped-tube drainage.

目的 探讨腹腔镜联合纤维胆道镜治疗胆总管结石的治疗效果及手术方式方法对34例胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后行期缝合或T管引流。

Type I Mirizzi syndrome treated with laparoscopic cholecystectomy and type Ⅱ with choledochotomy and T??tube drainage,suturing fistula and retaining partial gallbladder wall is safe and feasible.

Mirizzi综合征I型行LC、II型行胆总管T管引流+保留部分胆囊壁缝合瘘口的手术安全可行。

Methods 34choledocholithasis patients were treated by cholecystectomy and choledochotomy under laparoscopy combined with fibro-optic choledocoscopy,and one-stage suture or T-shaped-tube drainage.

对34例胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后行一期缝合或T管引流。

Methods:The clinical data of twenty nine patients with common bile duct calculi underwent laparoscopic choledochotomy and primary ductal submucosa closure without routine T tube drainage was retrospectively analyzed.

应用腹腔镜手术设备及纤维胆道镜为29例胆总管结石患者行腹腔镜胆总管切开取石术,不置T管引流,一期缝合胆总管壁。

Main methods included choledochotomy, choledochoscopic exploration,ureteral catheter through cystic duct remnant for drainage of bile duct,Ttube drainage,and the primary closure of duct incision.

1993年10月至2005年3月运用腹腔镜胆总管切开取石术(包括胆总管切开,胆管镜取石,经胆囊管残端输尿管导管胆管引流、T管引流、胆总管切口即时缝合等)有选择地对87例胆总管内径≤08cm的胆总管结石病人进行治疗。

This age stands for the formation time of the ocean basin of Xiugugabu-Daba Tethys, and is very close to that of the middle part of the Yarlung-Zangbo suture zone (126±1.5 Ma). This outcome provides a well chronologic condition for discussing the palaeotectonic framework and the evolution of the Tethys basin in the study area. In addition, the forma...

该年龄代表了休古嘎布-达巴特提斯洋盆的形成时代,与雅鲁藏布江缝合带中段洋盆形成时代(126±1.5Ma)相当,此结果对于确定研究区特提斯洋盆的古构造格局及其发育演化过程等提供了重要的年代学制约。

We suggest that the tie-over technique is a good alternative to manage intractable chylous leakage after radical neck dissection, especially when the surrounding soft tissue is friable and tissue plane is not clear.

我们认为运用捆扎缝合方式可列入治疗颈部淋巴廓清后顽固性乳糜外漏的考虑,尤其是在组织脆弱及界面不清楚的情况下。

Results:the time of vim convalescence, draining, antibiotics use, fervescence, intention, hospitalization were all shorter in the presacral space clysis group than that in the tradional treatment group.the times of dressing wound and the number of secondary suture and c healing were all smaller in the presacral space clysis group than that in the tradional treatment group.and the infection rate of the former was 0.136 times of the latter.

结果:骶前冲洗组的精神状态恢复时间、血浆引流管保留时间、抗生素使用时间、体温升高时间、伤口愈合时间、住院时间均短于传统处理组,骶前冲洗组的换药次数、伤口二期缝合例数、伤口丙级愈合例数均少于传统处理组,以及骶前冲洗组的伤口不良愈合几率是传统处理组的0.136倍。

METHODS: Through vestibular and columellar approach, the major alar cartilage and nasalis were repositioned to the normal anatomical positions, the deviated septum and columella were corrected by cutting the abnormal attachment of the orbicular muscle to the anterior nasal spine.

鼻唇畸形二期修复时做鼻翼缘前庭合并鼻小柱切口,矫正大翼软骨、鼻肌、鼻小柱及鼻中隔的异常解剖位置,离断鼻中隔的异常附着,部分患者去除多余的鼻中隔组织,并将鼻中隔软骨末端可靠固定在正确的位置,与软组织逢合固定,或与前鼻棘等骨性组织缝合固定,同时矫正偏斜的鼻小柱等软组织,通过鼻部软、硬组织的矫正,恢复鼻的正常形态。

Conlusion it is unnecessary to suture the coracoclavicular ligament after clavicular hook plate fixation in treating acromioclavicular dislocation.

在锁骨钩钢板内固定治疗肩锁关节脱位手术中喙锁韧带的缝合不是必需的。

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The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

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