肠切开术

Emergency operation were performed on 21 patients,including embolectomy on 9 cases, embolectomy and intestinal resection on 8 cases, intestinal resection and anastomosis on 3 cases, intestinal resection and enterostomy on 1 case.,expectant treatment on 6 cases.

急诊行手术治疗21例，其中单纯行肠系膜上动脉取栓术9例，肠系膜上动脉切开取栓加肠切除吻合术8例，单纯肠切除吻合术3例，肠切除加肠造瘘术1例。保守治疗6例。

The patient underwent exploratory laparotomy after failure of medical treatment. A bezoar 8×3×3cm in size, was lodged and extracted via enterotomy over the compatible obstruction site of barium meal examination.

患者因内科治疗失败而接受剖腹探查，结果发现一个8×3×3公分大的粪石位於与小肠钡剂检查相吻合的阻塞部位，并经由肠切开术将之取出。

A surgically created stoma used in colostomy and ileostomy or permanent tracheostomy is considered to be a natural body orifice.

通过外科手术创造的，如结肠造口术和回肠造口术或者持久性的气管切开术可以被认为是人体的自然腔道。

Firstly,all patients have been excided the upper ductus choledochus,the liver gross duct,left right liver duct besides one centimeter of liver duct that lies upwards the hepatolith.Secondly, we have sutured the excided bile duct, which has been shaped acetabuliform,lifted one part of jejunums,intered non-port one subcuneously,and then inosculated gall with enteron by Roux-en-Y way.Lastly,we have partly excised the ill liver in regular way.Results 26 ones have been follow-up for 1～10 years.The rate is 81 percents,average for 6 years.

32例肝内胆管结石均接受皮下盲袢型胆肠吻合术，其中结石位于右肝7例（22%），左肝9例（28%），两肝均有16例（50%）；结石合并肝胆管狭窄24例（75%），全部病例均切开胆总管上部、肝总管、左右肝管，并切开肝内胆管狭窄部以上1cm肝管，将切开的胆管做必要的缝合，形成碟状，取一段空肠上提，盲袢埋置皮下，再做胆肠Roux-en-Y吻合，病肝做规则性肝部分切除术。

Cases were undergone choledocholithotomy with T-tube drainage , 39 cases cholangiojejunostomy with T-tube drainage , 28 cases lobectomy of liver, 16 cases plastic repair of hepatic portle duct with cholangiojejunostomy.

其中肝胆管切开取石T管引流术47例，肝胆管切开取石+胆肠吻合术39例，肝部分切除术28例，肝门部胆管切开成形+胆肠吻合术16例。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访，随访6 月～10年，术后优良率及残石率分别：肝胆管切开取石T管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访，随访6个月～10年，术后优良率及残石率分别为：肝胆管切开取石T管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

Results 114 cases were follow-up surveyed from 6 months to 10 years, after operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with t-tube drainage ,78.38%、32.43% in cholangiojejunostomy with t-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy.

结果 114例得到随访，随访6个月～10年，术后优良率及残石率分别为：肝胆管切开取石t管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

Methods: The twenty one cases by retroperitoneal laparoscopic ureterolithotomy and 20 cases by open ureterolithotomy were reviewed retrospectively.

回顾性分析21例后腹腔镜输尿管切开取石术和20例开放性输尿管切开取石术患者的临床资料，比较两组手术时间、手术并发症、术后肠功能恢复时间、术后使用抗生素时间、术后拔除引流管时间、术后拔除导尿管时间、术后住院时间、总住院费。

Methods The clinical data of 96 cases received laparosxopic ureterolithotomy and 62 cases received open ureterolithotomy were retrospectively analyzed. Operating time, amount of bleeding during operation, recovery of intestinal function after operation, the operation cost, aching degree after operation, total cost of hospitalization and complications were compared between group A and group B.

回顾分析腹腔镜输尿管上段切开取石术96例及开放性输尿管上段切开取石术62例的临床资料，比较两组的手术时间、术中出血量、术后肠功能恢复情况、术后下床活动时间、术后住院天数、住院总费用、术后疼痛程度、术后并发症等指标。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。