胃胃吻合术

Objective To explore the application of gastric-pharyngeal anastomosis on advanced hypopharyngeal carcinoma and cervical esophageal carcinoma.

目的探讨胃咽吻合术在晚期喉咽癌和颈段食管癌手术中的应用。

Fifteen patients underwent operation, including gastrostomy (6 cases), gastrotomy (4 cases), partial gastric fundus resection (2 cases), others operations (2 case), and laparotomy exploration (1 case); among them four patient died.

手术治疗15例，包括胃切开减压、胃造口术（6例），胃切开减压后再缝合创口（3例），胃切开减压、胃造口、空肠造口术（1例），胃底部分切除术（2例），十二指肠空肠吻合术（1例），空肠造口术（1例），开腹探查术未切开胃壁（1例），死亡4例(26.7%)。

Continues CHIP was performed over 60 minutes on postoperative canines in anaesthesia. The changes of inferior segment of esophagus, heart rate, respire, mean arterial pressure, and central venous pressure were observed. In addition, the temperature of physic liquor, perfusion and take suction were recorded.

在麻醉下行胃空肠吻合术或横结肠吻合术，持续1h腹腔循环热灌注并监测食道下段温度、心率、呼吸、平均动脉压和中心静脉压，记录药液温度、灌注温度和抽取温度的变化。

The case number of duodenopancreatectomy,cholecystojejunostomy, cholecystoduodenostomy, gastrojejunostomy, cholecystostomy, choledochoduodenostomy, choledochjejunalostomy, exploration of the common bile duct, and T tube drain were 43, 20, 3, 19, 4, 4, 21, 18, 7 respectively.

行胰十二指肠切除术43例，胆囊空肠吻合术20例，胆囊十二指肠吻合术3例，胃空肠吻合术19例，胆囊造瘘术4例，胆总管十二指肠吻合术4例，胆总管空肠吻合术21例，胆总管探查、T管引流18例，剖腹探查术7例。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%（15/28），手术切除率为71.4%（20/28），单纯胆囊切除术6例（占21.4%），胆囊切除+总胆管探查4例（占14.3%），胆囊切除+区域淋巴结清扫2例（占7.1%），胆囊+肝楔状切除+区域淋巴结清扫6例（占21.4%），胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例（占3.6%），胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例（占3.6%），未切除率为28.6%，胃-空肠吻合术2例（占7.1%），胆囊造瘘1例（占3.6%），仅做剖腹探查术5例（占17.9%）。

Methods Eighteen majority medical fitness mongrel canines were randomly divided into three groups: Group A (gastrojejunostomy or colocolic anastomosis + CHIP), Group B and group C (only gastrojejunostomy or colocolic anastomosis).

将成年健康杂种家犬18只随机分为三组：A组（胃空肠吻合术或横结肠吻合术＋腹腔热灌注组）、B组和C组，每组6只。

The decision was made to insert a percutaneous gastrojejunostomy under fluoroscopic guidance.

决定在透视下行经皮胃空肠吻合术。

Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy, andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy.

结果：本组中，术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高，胃镜、上消化道造影是诊断本病有价值的方法，经保守治疗后胃肠动力一般可在术后5周内恢复正常。

Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy, andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy. Gastroscopy and upper gastrointestinal series served as a valuable measurement in diagnosis. In general, GI motility could be restored after 5 weeks of conservative therapies.

结果：本组中，术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高，胃镜、上消化道造影是诊断本病有价值的方法，经保守治疗后胃肠动力一般可在术后5周内恢复正常。

Results Findings in the operation and pathologic diagnosis: gastric ulcer in 11 cases (50%); duodenal ulcer in 7 cases(33.9 %); Postbulbar duodenal ulcer in 1 case (4.5%); complexity ulcer in 3 cases(13.6%); among them, canceration in 2 cases (9.1%) Procedures: subtotal gastrectomy with Billroth 1 anastomosis in 6 cases(27.3%), subtotal gastrectomy with Billroth II anastomosis in 15 cases.

结果手术所见及病理诊断：胃溃疡11例(50％)；十二指肠球部溃疡7例(33.9％)；十二指肠球后溃疡1例(4.5％)；复合性溃疡3例(13.6％)；其中伴癌变2例(9.1％)。手术方式：胃大部切除Billroth 1式吻合术6例(27.3％)，胃大部切除BillrothⅡ式吻合术15例(68.2％)，全胃切除Roux—en—Y吻合术1例(4.5％)，其中溃疡旷置术3例(13.6％)。

Neither the killing of Mr Zarqawi nor any breakthrough on the political front will stop the insurgency and the fratricidal murders in their tracks.

在对危险的南部地区访问时，他斥责什叶派民兵领导人对中央集权的挑衅行为。

In fact,I've got him on the satellite mobile right now.

实际上 我们已接通卫星可视电话了