吻合

Selected anastomosis site:The site for the attempt at anastomosis creation was chosen at least 2-3 disc diametersaway from the optic disc or 1 disc diameter peripheral to the occlusion site in eyes with bruch retinal vein occlusion, and a large underlying choroidal vein by showing in ICGA, usually in the inferior fundus.

激光吻合：在选定的吻合部位，用选定的高能量激光先击射邻近的＊＿Ch膜，接着是静脉壁本身，Bruch膜破裂的疑似迹象，为一汽化泡，当静脉壁破坏时有微量的出血。37例RVO共做了86个吻合点，所用的激光参数为：光斑直径50p，曝光时间 0.l秒，使用绿光最多 63个点（72％），功率 800～900mw，少数用氟红、氟黄及Nd：YAG激光。

The proximal and distal nerve stumps were sutured l cm apart, in an end-to-side fashion like ＂π＂, to the epneurium windows, opened by removing the epineural sheath on the intact tibial nerve trunk with 1 mm long.

方法将大鼠右侧腓总神经在胭窝处剪除约5mm后，将断裂的腓总神经近端和远端分别就近与同侧胫神经上的外膜窗施行端侧吻合，吻合口间距约10mm；动物存活24个月后，将手术侧近端吻合口以上胫神经剪断，再将辣根过氧化物酶注入远段腓总神经干内，72h后取材并经四甲基联苯胺显色显示脊髓L3-6节段神经元和L4、L5脊神经节细胞，同时取腓总神经远段行电镜观察神经纤维再生状态。

Methods: From May 1985 to December 2002, 2240esophageal and stomach cardia cancer patients treated by intrathoracic esophagogastric "layer-to-layer"anastomosis with esophageal mucosa extended varied in plane were retrospectively analyzed.

回顾性总结1985年5月～2002年12月共进行胸腔内食管黏膜延长不同平面与胃、食管分层吻合术2240例，统计手术后和出院后随访资料发生吻合口瘘和吻合口狭窄的情况。

Abstract］ Objective To discuss the influencing factors of healing up of anastomosis between traditional and morden ideas and question the more reasonable method of intestinal tract preparation in stage one operation.Methods Twenty-six patients with colon cancer were divided into 3 groups:colostomy group（8 cases）,washing group (9 cases) and suction group (9 cases).All the patients underwent colectomy plus stage one anastomosis and exteriorization with different interoperative preparation with which we compared the healing up of anastomosis within the three groups.

目的 探讨影响吻合口愈合因素的传统与现代观念并进步探讨一期手术中合理的肠道准备方式方法 26例降结肠癌分为造瘘组（8例）、冲洗组（9例）和粪便吸引组（9例）三组，术中分别采用3 不同方式行紧急肠道准备，所有病人均采用结肠切除一期吻合加外置的方法，对比观察三组病人的吻合口愈合情况。

The drug concentrations in the stoma and in the tissues that were 0, 1, 3, 5, 7, 10 and 15 cm away from the imbedding point were also measured by high performance liquid chromatography

分别于植药后3、5、7、10及15 d各处死4只动物，取肠系膜及吻合口组织行病理学检查，观察肠吻合口愈合的情况，并采用高效液相色谱法分别检测不同时相吻合口处及距植药点0、1、3、5、7、10及15 cm处组织药物浓度。

objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24～72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的：探讨外伤性十二指肠破裂的诊断和治疗方法。方法：回顾分析外伤性十二指肠破裂患者13例临床资料。结果：入院后3 h内确诊6例，24～72 h内确诊4例，72 h后确诊3例。3例行十二指肠裂口修补，2例行十二指肠造瘘，2例行十二指肠空肠roux-en-y吻合，1例行十二指肠憩室化手术，1例行改良十二指肠憩室化手术，1例行十二指肠两断端关闭、胃空肠吻合，1例行十二指肠远端关闭、近端与空肠端侧吻合，2例行胰十二指肠切除术。术后6例(46.2%)出现切口感染、十二指肠瘘、消化道出血、胰瘘或腹腔感染等并发症，2例(15.4%)患者死亡，分别死于多器官系统衰竭和感染中毒性休克。结论：早期诊断与正确的术式选择是成功救治外伤性十二指肠破裂的关键。

There are abundant anastomoses between arteries, namely, collateral, distributing and functional networks distinguished by the differcnt calibres of the anastomosing channels.

动脉在肌内存在丰富的三重吻合：侧副吻合网，分布动脉吻合网和功能血管吻合网。

One anastomotic leakage patient operated again in Hartmans' way because of huge anastomotic leakage and sepses symptom;another patient went out of the hospital with the conduct-pipeline of antesacrum because of incurable leakage through intestinal nutrition,TPN and conservative treatment,its leakage was curable after two months;another patient appeared the leakage of rectal vagina which was remedied after six months;the other 20 anastomotic leakages were recovered by conducting, local washing,taking food,treating accompanying illness.

结果 263例中发生吻合口瘘23例，占8.7%。1例吻合口瘘口大，出现全身中毒症状再行Hartmans手术；1例吻合口瘘经肠内营养、肠外静脉营养等保守治疗，瘘口未愈，带骶前引流管出院，2个月后愈合；1例出现直肠阴道瘘，6个月后行阴道修补术；其他20例吻合口瘘经骶前引流、冲洗、加强营养、伴随疾病治疗均痊愈出院。

One anastomotic leakage patient operated again in Hartmans' way because of huge anastomotic leakage and sepses symptom;another patient went out of the hospital with the conduct-pipeline of antesacrum because of incurable leakage through intestinal nutrition,TPN and conservative treatment,its leakage was curable after two months;another patient appeared the leakage of rectal vagina which was remedied after six months;the other 20 anastomotic leakages were recovered by conducting, local washing,taking food,treating accompanying illness.

结果 263例中发生吻合口瘘23例，占8.7%。1例吻合口瘘口大，出现全身中毒症状再行Hartmans手术；1例吻合口瘘经肠内营养、肠外静脉营养等保守治疗，瘘口未愈，带骶前引流管出院，2个月后愈合；1例出现直肠****瘘，6个月后行****修补术；其他20例吻合口瘘经骶前引流、冲洗、加强营养、伴随疾病治疗均痊愈出院。

Abstract］ objective to investigate anus sphincter preserved surgical method and indication for low rectal cancer.methods 15 cases with low rectal cancer were operated with eversion and pull-through anus preserved colorectal anastomosis through anus.results no patients died of operation,no patients was with fistula and stricture of anastomosis,no defecation incontinence happened after postoperative 20 weeks,only one patient was with local recurrence.following up for 8 months to 5 years,5 cases were with distant metastasis,4 of these died,one of these had lived with liver metastasis for 3 years.conclusion the indication of anus preserved operation should be chosen according to clinical stage and biological characteristic of rectal malignancy; eversion and pull-through anus preserved colorectal anastomosis through anus is a better anus preserved operation for low rectal cancer.

目的 探讨低位直肠癌保留肛门括约肌功能的手术方法和手术适应证。方法对低位直肠癌经腹经肛门直结肠外翻拉出保留肛门吻合术15例。结果全组无手术死亡，未发生吻合口漏和吻合口狭窄，局部复发1例，20周左右恢复正常排便排气功能，无大便失禁病例。随访8个月～5年，5例为远处转移，死亡4例，其中1例肝转移3年仍生存。结论根据直肠癌的临床分期和肿瘤的生物学特性选择保肛手术适应证，经腹、肛门齿线上直肠癌根治性切除，行肛门直结肠外翻拉出吻合是低位直肠癌较好的保肛术式。

Chrysanthemum of 10 thousand birthday is lax to edaphic requirement, with the arenaceous qualitative loam with fecund, good drainage had better.

万寿菊对土壤要求不严，以肥沃。排水良好的砂质壤土为好。

He unstepped the mast and furled the sail and tied it.

他拔下桅杆，把帆卷起，系住。