腹腔疾病

Objective To evaluate the indications,technic and clinical efficacy of transperitoneal laparoscopic adrenalectomy for adrenal diseases.

目的探讨腹腔镜下经腹腔径路肾上腺切除术治疗肾上腺疾病的适应证、手术技巧及优缺点。

From April 2000 to June 2002, 512 cases of laparoscopical urologic operation have been performed through transperitoneal and retroperitoneal or extraperitoneal approach: 41 cases of nephrectomy, 36 cases of radical nephrectomy, 10 cases of nephroureterectomy with cystoscopic en bloc excision of the distal ureter and bladder cuff, 3 cases of partial nephrectomy, 78 cases of partial adrenalectomy or resection of adenomas, 71 cases of total adrenalectomy, 17 cases of ureterolithotomy, 122 cases of decortication of renal cyst, 1 case of Anderson-Hynes dismembered pyeloplasty, 7 cases of renal pedical lymphatics disconnection, 2 cases of relative living donor nephrectomy.

本课题通过对223例肾疾病、149例肾上腺疾病、17例输尿管结石病人进行腹腔镜及后腹腔镜手术，其中肾囊肿去顶术140例、单纯肾切除术41例、根治性肾切除术36例、肾输尿管全切及输尿管口膀胱袖套状切除术10例、后腹腔镜肾部分切除术3例、Anderson-Hynes肾盂成形术1例、肾蒂淋巴管离断术7例、腹腔镜和后腹腔镜活体亲属供肾切取术各1例、肾上腺部分或单纯肿瘤切除术78例、肾上腺全部切除术71例、输尿管切开取石术17例。记录手术时间、手术中失血量、肠道功能恢复时间及并发症，将结果与传统开放手术和国外学者的腹腔镜手术结果进行比较，对数据进行统计分析。

Fifty seven percent of acute liver failure patients had elevated anti-transglutaminase antibodies, which correlate with gluten-sensitive enteropathy (see coeliac disease , Gluten-sensitive enteropathy associated conditions ).

50百分之七的急性肝功能衰竭患者高抗转抗体，其中关联与面筋敏感的肠病（见腹腔疾病，面筋敏感的肠病相关条件）。

Abstract］ Objective To discuss the safety,effect and availability of treatment of abdominal emergency with laparoscopy.Methods The instruments were installed by three foramina methods after general anestheasia.Various operation applicable to the problem of case.For example salpingectomy,salpingotomy,partial ovariotomy,adnexectomy and pelvic abscess incision drainage.

摘要］ 目的探讨妇科急症腹腔镜手术的可行性、安全性及治疗效果方法在全麻下采取常规三孔法置入腹腔镜器械，根据不同疾病采取相应的手术方法，如：输卵管切除术，输卵管开窗术，卵巢部分切除术，侧附件切除术，脓肿切开引流术。

Objective To explore the value of laparoscopic operation in the treatment of gynecologic diseases.Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

目的 探讨妇科腹腔镜手术的临床应用价值方法回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

A pattern of symptoms including loss of appetite and bloating and weight loss and muscle pain and steatorrhea; associated with celiac disease and sprue and ''.

失去食欲，气胀，体重减轻，肌肉疼痛和腹泻的症状模式；因腹腔疾病，口炎性腹泻囊肿性纤维化引起。

A pattern of symptoms including loss of appetite and bloating and weight loss and muscle pain and steatorrhea; associated with celiac disease and ''.

失去食欲，气胀，体重减轻，肌肉疼痛和腹泻的症状模式；因腹腔疾病，口炎性腹泻囊肿性纤维化引起。

Celioscope is an important instrument in surgery. With the improvement of celioscope skill, more diseases can be cured. At the same time the overuse of celioscope in surgical course has been a serious social issue.

腹腔镜手术是目前外科领域的一个重要方面，随着腹腔镜手术技巧的提高，越来越多的疾病可以通过腹腔镜手术得到治疗，但同时腹腔镜在外科治疗中过度应用也成为一个重要的社会问题。

Methods:260 patients,who suffered disease of adrenal glands,kidneys,ureter or bladders,were treated with laparoscopic surgery by retroperitoneal and transperitoneal approach.

经腹腔及后腹腔两种途径对260例精索静脉曲张、肾上腺疾病、肾脏疾病、输尿管疾病、膀胱疾病患者实施腹腔镜手术。

The procedure was performed transperitoneally in 60 cases and in 44 patients it was done retroperitoneoscopically, based upon the tumor position or potential difficulties due to previous abdominal surgery.

60个经腹腔，由于肿块的位置或者因为以前的腹部外科手术使经腹腔存在潜在的困难，44个病人经腹膜后腹腔镜，54%的病人有其它疾病。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。