肾门的

Gate of Life: In the middle of the waist line, after the first two lumbar spinous process in the next depression, with replenishing liver and kidney, the role of Wenshen impotence, one can treat men's impotence, nocturnal emission, women's vaginal discharge, enuresis, frequent urination, irregular menstruation , as well as Yao Ji strong pain, hand, foot and cold.

命门：在腰部后正中线上，第2腰椎棘突下凹陷中，具有补益肝肾、温肾壮阳的作用，可以治疗男子阳痿、遗精，妇女带下、遗尿、尿频、月经不调，以及腰脊强痛、手足发冷。

And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果：①术后一过性发热62例(84.9%)，腹痛腹胀48例(65.8%)是介入断流术常见的并发症，未发生严重并发症；②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%；显示食管静脉曲张主要由胃冠状静脉供血，胃静脉曲张主要由胃短静脉和胃后静脉供血；胃冠状静脉大多数为单支，少数为双支，其双支的出现率分别为30.57%；胃冠状静脉开口于门静脉主干的为52.06%，开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%；③发现胃肾分流3例，脾肾分流7例、腹膜后门腔静脉分流2例，以及CTA检查发现脐静脉开放者2例；④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa，前后比较存在显著性差异；11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ，前后比较发现首次术前与术后存在显著性差异，首次术前和复发出血术前门静脉压力比较无显著性差异；⑤介入术后复查曲张静脉转归基本消失54例，轻度19例；⑥Spearman相关分析和Logistic多因素回归分析，肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响；Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响；⑦COX回归分析，门体分流和曲张静脉转归两个因素对术后生存有影响；⑧术后随访6-70月，1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%；结论：介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点，可以快速直接控制曲张静脉出血而门静脉压力无显著增高，保证了肝脏灌注；与外科分流术相比适应证广、损伤轻、术后恢复快，不易遗漏曲张静脉；肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响；门脉高压性胃病对复发出血时间有影响；门体分流和曲张静脉转归对生存时间有影响。

There were portal collateral vessels around the main portal vein in 8 patients and among them, there was 1 patient with the varix of gallbladder wall, 2 with gastroepiploic varix, 1 with varix on the bile duct wall, 1 with open of the retroperitoneal-paravertebral vein and the splenorenal vein, and 1 with open of the retroperitoneal-paravertebral vein.

结果 在门脉闭塞后，引起相应血管的纡曲扩张及侧支血管的形成，其中有门脉周围形成门－门侧支循环，胆囊壁静脉的曲张，胃网膜静脉的增粗纡曲，胆管壁静脉的纡曲扩张，腹膜后椎体旁侧支血管的开放，脾－肾静脉短路的开放，胃底食管静脉的曲张。

After medicinal vesiculation to Shenshu, Mingmen, and Dazhui, the aging process of SAM showed significant retardation, which suggests that medicinal vesiculation is recommended for health maintenance and longevity.

而通过天灸肾俞、命门、大椎三穴，结合丹参、淫羊藿及蛇床子等中药的透皮吸收作用，SAM-〓小鼠的衰老进程可以明显地被延缓，提示天灸这种特殊灸法是防病保健、益寿延年的一种良好手段。

Methods A retrospective analysis was carried out in 245 cases with portal hypertension treated with PCDV or PSRS plus PCDV. The diameter, blood flow velocity and blood flow of portal vein, splenic vein and superior mesenteric vein were measured by magnetic resonance angiograph at 1 week preoperatively and at 2 week postoperatively.

回顾性总结近8年采用脾肾分流加门奇断流联合手术和门奇断流术治疗门静脉高压症245例，于术前一周和术后2周应用核磁共振血管造影测量门静脉、脾静脉和肠系膜上静脉的直径，流速和流量，并于术中动态测量门静脉压力。

Methods: Under peridural anesthesia, the right rectus incision was adopted. First, the vessels in lesser curvative of stomach was amputated and ligated. Second, splenic artery was ligated to deflate spleen .Then ,splenic artery and renal vein were amputated and side-to-side anastanosised with each other. Result: Of the 36 cases,the portal free pressure decreased by different degree in 23 cases, unchanged in 10,and increased in 3 postoperatively. The follow-up ranged from 1 to 5 years.

在硬膜外麻醉下经右腹肌切口进腹、采用先作胃小弯的血管彻底离断，再结扎脾动脉、使脾脏缩小后，而后分离出脾静脉和肾静脉进行端侧吻合，结果：36例中23例病人吻合后测得门脉自由压均较分流前有不同程度的降低，10例门脉自由压未变化。3例高于分流前压力。

The labia have now been sutured together almost completely.The drains and the Foley catheter come out at the top.

此刻阴唇已经几乎完全的缝在一起了，排除多余淤血体液的管子和Foley导管从顶端冒出来。

To get the business done, I suggest we split the difference in price.

为了做成这笔生意，我建议我们在价格上大家各让一半。