缝术

PDA was often combined with all kinds of intracardial malformation ,preoperational diagnosis and interoperative exploration are extremely helpful for diagnosis . A strict control of indication and the improvement of CPB technique are significant to lower the death rate and postoperative complication . Suturing PDA through incision in pulmonary artery under CPB is the main treatment for PDA, using Foley catheter to block arterial canal flow helps to fully expose the operating field 、shorten CPB duration and lower the complications of lungs and brain .

各种心内畸形经常合并PDA，术前诊断及术中探查，意义重大；严格掌握手术指征和提高CPB技术，对降低手术死亡率及术后并发症具有重要意义；经肺动脉切口缝闭PDA是CPB下处理PDA的主要方法，术中应用 Foley导尿管阻断动脉导管血流，有利于术野显露、缩短CPB时间，可降低肺部、脑部并发症。

Coronary artery bypass graft, Off-pump coronary artery bypass or minimally invasive direct coronary artery bypass were utilized to correct the myocardial bridging and coronary artery aneurysm. Reimplantation of the anomalous orifice of coronary artery and Takauchi procedure were used to repair coronary artery anomalous origin from pulmonary artery.

其中冠状动脉起源于肺动脉手术采用冠脉开口移位于主动脉1例，Takauchi手术1例；冠状动脉瘘体外循环下修补6例、冠状动脉下瘘口切线缝扎1例，非体外循环下左前降支－肺动脉之间瘘管结扎1例；左前降支心肌桥行MIDCAB 4例，OPCAB 8例，体外循环下行心肌桥松解术2例；冠状动脉瘤采用体外循环下CABG术2例，OPCAB 8例，其中冠状动脉瘤成形术1例，冠状动脉瘤切除术1例。

Treatment options for symptomatic lymphoceles include percutaneous drainage, percutaneous aspiration combined with the installation of a sclerosing agent (bleomycin, doxycycline, povidone iodine, alcohol, or talc),13,15,17 or surgical drainage via open or laparoscopic surgery.1214 Open surgical internal marsupialization of a lymphocele has long been the historical gold standard therapy.

有症状的淋巴管瘤处理选择包括经皮引流、经皮抽吸合并注入硬化剂（博来霉素、多西环素、聚维酮碘、酒精或滑石粉）或通过通过开放或腹腔镜手术术中引流。长期以来，开放性内部袋形缝术一直是治疗淋巴管瘤的金标准。

In laparoscopic internal marsupialization, a 3- to 4-cm peritoneal window is excised, and the periphery of the peritoneum is cauterized.

在腹腔镜内部袋形缝术中，术者会切开3－到4－cm的腹膜创口，并将这个创口的周边腹膜烧灼。

Sphenosquamous suture ;sphenotemporal suture 蝶鳞缝,蝶颞缝:同sutura sphenosquamosa

subcuticular suture 皮内缝术：一种皮肤缝合的方法；缝线置于表皮下组织并与伤口平行，可以用连续的或间断的缝法。

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。

Cases treated by incision and thread drawing with 1 recurred(average healing time 20.22±5.24 days); 32 cases by incision suture plus internal opening drainage with 3 recurred(average healing time 22.84±6.66 days); 34 cases by fistulectomy and primary suture with 5 recurred( average healing time 25.56 ±7.51 days);32 cases by fistulotomy with 6 recurred(average healing time 30.43±10.72 days).

结果：随访5～10个月(平均7 2个月)，切开挂线术37例，复发1例，平均愈合时间(20 22±5 24)d；切缝内口引流术32例，复发3例，平均愈合时间(22 84±6 66)d；瘘管摘除缝合术34例，复发5例，平均愈合时间(25 56±7 51)d；瘘管旷置术32例，复发6例，平均愈合时间(30 43±10 72)d。

Low complex anal fistula usually can be treated by incisionsuture plus interal opening drainage or fistulectomy and primary suture, and high complex anal fistula by incision and thread drawing or fistulotomy.

低位复杂性肛瘘多采用切缝内口引流术、瘘管摘除缝合术；高位复杂性肛瘘多采用切开挂线术、瘘管旷置术。

Cases treated by incision and thread drawing with 1 recurred(average healing time 20.22±5.24 days); 32 cases by incision suture plus internal opening drainage with 3 recurred(average healing time 22.84±6.66 days); 34 cases by fistulectomy and primary suture with 5 recurred( average healing time 25.56 ±7.51 days);32 cases by fistulotomy with 6 recurred(average healing time 30.43±10.72 days).conclusion:low complex anal fistula usually can be treated by incision suture plus interal opening drainage or fistulectomy and primary suture, and high complex anal fistula by incision and thread drawing or fistulotomy.

结果：随访5～10个月(平均7 2个月)，切开挂线术37例，复发1例，平均愈合时间(20 22±5 24)d；切缝内口引流术32例，复发3例，平均愈合时间(22 84±6 66)d；瘘管摘除缝合术34例，复发5例，平均愈合时间(25 56±7 51)d；瘘管旷置术32例，复发6例，平均愈合时间(30 43±10 72)d。结论：低位复杂性肛瘘多采用切缝内口引流术、瘘管摘除缝合术；高位复杂性肛瘘多采用切开挂线术、瘘管旷置术。

In the negative and interrogative forms, of course, this is identical to the non-emphatic forms.

。但是，在否定句或疑问句里，这种带有"do"的方法表达的效果却没有什么强调的意思。

Go down on one's knees;kneel down

屈膝跪下。。。下跪祈祷