食管

Methods Among 480 patients who underwent esophagectomy with circular stapler, two groups were divided according to the difference of the treatment for the esophageal stump.

在我院接受食管贲门癌切除术并使用管状吻合器重建食管的480例患者根据术中食管残端处理方法的不同分为两组。

According to Tokyo classification, 14 cases were having grade Ⅲ esophagitis, and 20 were grade Ⅳ.

结果胃镜发现本组呃逆患者食管炎伴球部溃疡10例，单纯性食管炎24例；按东京分类法：食管炎Ⅲ级14例，Ⅳ级20例。

To evaluate the clinical value of intrathoracic esophagogastric "layer-to-layer" anas tomosis with esophageal mucosa extended varied in plane and to study the effective methods to prevent anastomotic leaking or stricture postoperatively.

目的 评价胸内食管黏膜延长不同平面与胃、食管分层吻合术，探讨预防食管吻合口瘘和吻合口狭窄发生的吻合方法。

colon interposition is an ideal method for treating caustic stricture of esophagus,the strictured esophagus can be excluded,two staged operations treat atresic hypopharynx is worthy to be popularized.

结肠代食管术治疗食管腐蚀性瘢痕狭窄较为理想，食管狭窄段可旷置，分两期手术治疗合并下咽闭锁的术式，值得临床推广。

Results In 56 cases,esophagastric refluxed and the reflux esopaguxitis 16 cases, cardiac carcinoma 18 cases, oesophageal hiatus hernia 12 cases.

结果 56例中，食管胃反流与反流性食管炎16例，贲门占位18例，食管胃底静脉曲张6例，贲门失弛缓症4例，食管裂口疝12例。

Methods : From March 2007 ~ January 2009, on the Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine and the Fujian Provincial People's Hospital Medical digestion hospital outpatient , hospital and Digestive Endoscopy Center of Fujian Province with typical heartburn and reflux symptoms （ such as retrosternal pain , sour regurgitation or regurgitation ） in patients with gastroscopy Electronics , rule out the possibility that esophageal mucosal damage or performance , such as Barrett esophagus in patients with selected non-erosive gastroesophageal reflux disease patients , the study investigate with reflux disease questionnaire （ reflux diagnostic questionnaire , RDQ table ） to their symptom severity score , the application of internationally used self-rating anxiety scale （ Self-rating anxiety scale , SAS ）, self-rating depression Scale （ Self-rating depression scale , SDS ） for all selected patients with anxiety and / or psychological evaluation of depression and total score statistics , observation of non-erosive gastro-oesophageal reflux patients and the relevance of Psychological factors.

自2007年3月～2009年1月，对就诊于福建省第二人民医院和福建省立医院消化内科门诊、住院和福建省消化内镜中心具有典型的烧心感和反流症状（如胸骨后疼痛、反酸或反食）患者行电子胃镜检查，排除有食管黏膜损害或Barrett食管等表现的患者，筛选出非糜烂性胃食管反流病患者，行反流性疾病问卷（reflux diagnostic questionnaire，RDQ表）对其症状评分，应用国际通用的焦虑自评量表（Self-rating anxiety scale，SAS）、抑郁自评量表（Self-rating depression scale，SDS）对所有入选患者进行焦虑和/或抑郁状态心理测评，并统计总积分，观察非糜烂性胃食管反流病患者症状积分与心理因素的相关性。

Based on the references and our studies, we reviewed the bile injury on esophageal mucosal epithelial cells, the diagnosis and treatment of bile reflux into esophagus. The relationships of the biles with Barrett s esophagus and esophageal adenocarcinoma were elucidated especially.

本文复习文献并结合我们的研究成果，就胆汁对食管黏膜的损伤，包括损伤的可能机制、食管内胆汁反流的诊断、治疗等方面作以介绍，重点对胆汁在Barrett食管和食管腺癌发生中的作用及其防治作了阐述

Based on the references and our studies, we reviewed the bile injury on esophageal mucosal epithelial cells, the diagnosis and treatment of bile reflux into esophagus. The relationships of the biles with Barretts esophagus and esophageal adenocarcinoma were elucidated especially.

本文复习文献并结合我们的研究成果，就胆汁对食管黏膜的损伤，包括损伤的可能机制、食管内胆汁反流的诊断、治疗等方面作以介绍，重点对胆汁在Barrett食管和食管腺癌发生中的作用及其防治作了阐述

This study was conducted to examiune the fibrotic effect of Ni-Ti and 317L al loys in esophagus.The extract fluid from Ni-Ti,317L alloys was made according t o the ASTM standards of U.S.A. The Fb of esophageal scar was cultured primarily ,then incubated with alloy abstract fluid. The proliferating activity of Fb was measured by MTT at 4, 24, 48, 72 hours in the course of culturing. The esophagu s embedding test of Ni-Ti,317L alloys was made according to ASTM standards of U .S.A.The tissue around the alloys was taken at weeks 2 and 12,and the pathologi c changes were analysed.

为探讨新型支架材料Ni-Ti、317L合金在食管局部的致纤维化作用，按美国ASTM标准制备NiTi、317L合金的金属浸提液；&组织块培养法&原代培养食管壁疤痕的成纤维细胞，传代后以金属浸提液进行培养，分组后分别培养4、24、48、72 h，MTT法检测不同培养时间后Fb增殖功能的变化；按美国ASTM标准进行NiTi、317L合金试件的食管壁内包埋实验，即将金属试件经表面处理后直接置入食管壁粘膜层与肌层之间，术后2、12周取出包埋组织，分析试件周围组织的病理变化，并进行胶原纤维染色，观察纤维形成状况。

Group one consisted of 300 patients whose esophageal stumps were treated by a purse stitch using a clamp. Group two included 180 patients whose esophageal stumps were oversewn by 6-8 interrupted stitches, or by a continuous stitch along the stump before the anvil was in place.

第一组300例，食管残端用荷包钳法作荷包处理；第二组180例，食管残端在荷包钳处理的基础上，再间断全层缝合食管壁并结扎缝线，或沿食管残端连续全层缝合一周，放入抵钉座后结扎缝线。

Fancy gold-plated dangling earrings with facetted White Opal crystals.

花式镀金悬垂耳环与facetted白欧泊水晶。

This essay chooses the study aim from biology teachers in middle school in Shi Jiazhuang which tells us that most of the middle school biology teachers in Shi Jiazhuang have the"burnout", lower successfulness, individualize.

本文选取石家庄市初中生物教师作为研究对象，运用问卷调查的方法对石家庄市初中生物教师职业倦怠的现状进行调查，调查结果发现，石家庄市初中生物教师这一群体普遍存在职业倦怠，情感枯竭程度偏高，成就感偏低，去个性化程度最为严重。