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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。

Intrathoracic esophagogastric "layer-to-layer" anastomosis with esophageal mucosal extended varied in plane is an ef fective method to prevent anastomotic leaking and stricture postoperatively.

食管、胃黏膜延长不同平面分层吻合术是预防吻合口瘘和吻合口狭窄的有效吻合方法。

All patients underwent total colectomy,with ileostomy(n=1),ileorectostomy(n=2),ileoanal anastomosis or ileal pouch-anal anastomosis(n=7),and rectal mucosectomy,through the muscular sheath of rectum ileoanal/ileal pouch-anal anastomosis(n=7) respectively.

全部病人均施行了全结肠切除,采用回肠造口1例,回直肠吻合2例,直肠切除、回肠肛管吻合或回肠储袋、回肠肛管吻合7例,部分直肠切除、直肠粘膜剥脱经直肠肌鞘回肠肛管吻合7例。

In the second group,the rabbits were treated only with the argon laser induced chorioretinal venous anastomosis. Results An anastomosis in experimental group was formed in 6 rabbits within 4-6 weeks after treatment while no anastomosis was formed in control group.

结果:通过眼底荧光血管造影检查和彩色眼底照像,实验组6只眼成功建立视网膜脉络膜吻合,检眼镜下激光击射部位静脉中断呈漏斗状陷入脉络膜;FFA显示远端及近端静脉内血流汇入吻合处,吻合形成时间为4~6周,对照组未形成吻合

The dags in experimental group were performed with anastomosis of intestine by using medical adhesive,while the dogs in control group were treated by using traditional modus operandi.

将分别测定两种吻合方法的操作时间、吻合口通畅程度、吻合口爆裂压、吻合口羟脯氨酸含量及标本组织病理学比较。

Surgical therapy is the first choice for the recurrent stomal ulcer with complications and BAO,MAO obviously higher,stomal resection and gastrojejunal Roux-en-y anastomosis are effective methods to treat the stomal ulcer,and conservative treatment should be chosen primarily for the patients with slightly elevated BAO,MAO.

胃部分切除术后发生吻合口溃疡的主要原因为胃酸高所致,对有明显并发症且基础胃酸、最大胃酸明显高于正常者应采取外科手术治疗,原吻合口切除、胃空肠Roux-en-y吻合是治疗吻合口溃疡的有效方法。对BAO、MAO增高不明显者可用内科治疗,效果较好。

satisfying provision before operation and perfect anastomotic technology play key roles in preventing anastomotic leakage, correct judgement and valid method are premise of cure.irrigation and drainage through presacral double-cavity tube is a simple, safe and less suffering method to treat anastomotic leakage after anus-preserved operation for low rectal cancer.

充分的术前准备和良好的吻合技术是防止吻合口漏发生的关键。正确判断吻合口漏的发生及采用正确的处理方法是治疗的前提,双腔引流管加肛管引流是保守治疗吻合口漏的有效方法。

Methods 208 cases in 20 years were retrospectively analysed,86 cases (41.35%) were recovered by subtotal gastrectomy;18 cases (20.93%) were undergone Billroth I anastomosis;68 cases (79.07%) Billroth Ⅱ;42 cases (61.76%) Billroth Ⅱ precolonic anastomosis;26 cases (38.24%) retrocolic anastomosis.

回顾性 总结分析 20年间手术治疗消化性溃疡急性穿孔208例,其中86例(41.35%)采用胃大部连同病灶切除Ⅰ期治愈,胃肠重建采用BillrothⅠ式吻合18例(20.93%),BillrothⅡ式吻合68例(79.07%),BillrothⅡ式结肠前吻合42例(61.76%),结肠后吻合26例(38.24%)。

Methods According to etiopathogenisis, 30 patients with obstructive azoospermatism were given vasovasostomy,vasoepididymostomy or vasovasostomy plus opposite vasoepididymostong,respectively.

对30例梗阻性无精子症患者,根据其病因分别采取输精管输精管吻合术、输精管附睾管吻合术、输精管输精管吻合术加对侧输精管附睾管吻合术。

Basing on the setup of animal model of root avulsion of the brachial plexus, we divided the experimental animal into four groups by the operative method: Group A: one end of the maternal nerve graft was connected with the upper trunk of the healthy side by end-to-side neurorrhaphy, and the other end was sutured to the distal stump of musculocutaneous nerve infraclevicularly by end-to-end neurorrhaphy. Goup B: on the healthy side, the operation was the same, the other end was sutured to the distal end of C〓 by end-to-end neurorrhaphy on the affected side. Group C: the maternal nerve graft bridged the phrenic nerve and infraclevicular musculocutaneous nerve of the affected side by end-to-end neurorrhaphy. Group D: the phrenic nerve was sutured to the distal end of C〓 supraclevicularly by end-to-end neurorrhaphy.

在构建了模拟小儿臂丛神经根性撕脱伤的动物模型基础上,将实验动物按手术方式分组如下,A组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨下肌皮神经远端行端端吻合。B组:母鼠提供的的神经移植体一端与子鼠健侧臂丛上干行端侧吻合,另一端与患侧已切断的锁骨上颈〓远端行端端吻合。C组:母鼠提供的的神经移植体桥接于子鼠患侧膈神经与锁骨下肌皮神经之间。D组:子鼠患侧膈神经直接与锁骨上颈〓远端行端端吻合

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