静脉曲张

Methods: endovenous laser treatment of varicose great saphenous veins was applied to 21 patients of the chronic ulcer complicated to lower limbs venous varicosis , aided by cauterize with laster on varicose vein and perforating vein under the ulcer surface. after treatment, leg bandage compression was used for 0.5 months, and then changed to elastic stockings for 3~6 months.

对我院共收治的下肢静脉曲张合并慢性溃疡21例患者，均行静脉腔内激光治疗大隐静脉曲张，同时激光烧灼溃疡面下的曲张静脉及交通静脉，术后弹力绷带加压包扎半个月，改穿弹力袜3~6个月。

Methods: Endovenous laser treatment of varicose great saphenous veins was applied to 21 patients of the chronic ulcer complicated to lower limbs venous varicosis , aided by cauterize with laster on varicose vein and perforating vein under the ulcer surface.

对我院共收治的下肢静脉曲张合并慢性溃疡21例患者，均行静脉腔内激光治疗大隐静脉曲张，同时激光烧灼溃疡面下的曲张静脉及交通静脉，术后弹力绷带加压包扎半个月，改穿弹力袜3~6个月。

Objective To analyze the causation of short-term re-hemorrhage after the sclerotic therapy to esophagus varicose rupture hemorrhage in order to increase the curability of sclerotic therapy with endoscopes.Methˉods From January1995to June2004,this hospital has made sclerotic medicine to esophagus varicosis patients with the help of endoscopes for573person-times.

目的 分析食管静脉曲张破裂出血治疗后近期内再出血的主要原因，以提高内镜下硬化治疗的成功率方法我院消化内科从1995年1月～2004年6月，使用硬化剂对573例次食管静脉曲张患者行内镜下静脉注射。

The epididymis was collected at 2 and 4 weeks after the operation.

目的 研究血管内皮生长因子及其受体2(VEGFR2)在实验性左侧精索静脉曲张大鼠附睾中的表达和定位，探讨VEGF、VEGFR2在精索静脉曲张致男性不育中的作用。

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。

Objective: To explore the effects of experimental varicocele on the apoptosis of spermatogenic cells in rats.

目的 ：探讨大鼠精索静脉曲张对睾丸生精细胞凋亡的影响，阐明精索静脉曲张引起不育的病理机制。

Results:Spiral CT findings included dilated paraumbilical vein (n=12), paragallbladder varices (n=8), establishment of splenorenal collaterals (n=9), retroperitoneal varices (n=10), esophageal varices (n=24), paraesophageal varices (n=10), dilated azygos (n=15), paragastric varices (n=27) and dilated left renal vein (n=11). In 19 patients with portal hypertension, MIP angiography demonstrated dilatation of portal veins 1-2 grade branches, and thinness, distortion, stiffness of smaller branches.

结果：螺旋CT显示脐周静脉曲张12例，胆囊周围静脉曲张8例，脾肾静脉侧支开放9例，腹膜后静脉曲张10例，食管静脉曲张24例，食管周围静脉曲张10例，奇静脉扩大15例，胃周静脉曲张27例，左肾静脉扩大11例；MIP显示门脉1-2级分支增粗，2级以下分支细小、扭曲、僵直19例。

Results There fundal varices and esophageal varices were observed in 40 cases. Single fundal varices was observed in 6 cases.

结果 46例胃底静脉曲张患者，40例同时并存食管静脉曲张，6例孤立性胃底静脉曲张。

Results there fundal varices and esophageal varices were observed in 40 cases. single fundal varices was observed in 6 cases.

结果 46例胃底静脉曲张患者，40例同时并存食管静脉曲张，6例为孤立性胃底静脉曲张。

ObjectiveTo explore the therapeutic effect of sandostatin for rebleeding of esophageal varicosis treated by endoscopic varical band ligation. Methods 82 patients with cirrhosis after hepatitis B complicated with esophageal variceal bleeding were divided into EVL group and EVL group + sandostatin group. The therapeutic effects of the two methods were compared for esophageal varicosis.

目的探讨善宁对食管静脉曲张套扎术后再出血的防治作用方法82例乙型病毒性肝炎后肝硬化并食管静脉曲张随机分套扎组和套扎+善宁组，比较两治疗方法对食管静脉曲张的治疗效果。

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。