吻合

The descending one is the continuing of dorsal branch, it crosses the ulnar edge of the fifth metecarpal bone and anastomizes with the digital artery of little finger or hypothenar branch of deep palmar (accounted for 70%).

降支为腕背支的延续，经第5掌骨尺侧缘直达掌骨头颈处与小指动脉尺侧支或掌深弓小鱼际支相吻合占70%；降支至豌豆骨附近变为纤细，由小指动脉尺侧支或掌深弓小鱼际支上行与之吻合占30%；吻合外径(0.5±0.1) mm。

Objective To explore the nerve repair disparity of dobule end-to-side neurorrhaphy,end-to-side neurorrhaphy and nerve graft with vessels and to discuss the possibilities of clinical application.

目的 比较神经双端侧吻合、端侧吻合与神经移植三种术式修复神经缺损的能力差异，进一步探讨神经双端侧吻合术式的临床应用可行性，为临床神经缺损的修复提供新的术式及其理论根据。

The causes of failure in the pre-experimental stage were anesthesia accidents, thrombosis of the arterial anastomosis, massive hemorrhage, air embol ism and phlebemphraxis.

结果 共进行大鼠异位肾移植术104 次，其中预实验阶段62 次，成功50 次（80.6%），失败12 次，主要原因为麻醉意外、动脉吻合口血栓和大出血、静脉空气栓塞、静脉闭塞等；正式实验42 次，成功40 次（95.2%），失败2 次，分别为迟发性动脉吻合口出血和吻合口血栓引起。

Results Findings in the operation and pathologic diagnosis: gastric ulcer in 11 cases (50%); duodenal ulcer in 7 cases(33.9 %); Postbulbar duodenal ulcer in 1 case (4.5%); complexity ulcer in 3 cases(13.6%); among them, canceration in 2 cases (9.1%) Procedures: subtotal gastrectomy with Billroth 1 anastomosis in 6 cases(27.3%), subtotal gastrectomy with Billroth II anastomosis in 15 cases.

结果手术所见及病理诊断：胃溃疡11例(50％)；十二指肠球部溃疡7例(33.9％)；十二指肠球后溃疡1例(4.5％)；复合性溃疡3例(13.6％)；其中伴癌变2例(9.1％)。手术方式：胃大部切除Billroth 1式吻合术6例(27.3％)，胃大部切除BillrothⅡ式吻合术15例(68.2％)，全胃切除Roux—en—Y吻合术1例(4.5％)，其中溃疡旷置术3例(13.6％)。

Thirty-five patients with carcinoma of the lower rectum were completed the cutting operation passing the belly in Dixon operation, clamping the sigmoid at the 5 cm of location for anastomosis passing anus to insert one piece of 22# foley urea pipe, using 15-20 mL of water filling into urea pipe ball bag, then pulling urea pipe to stop with clear blockage, and passing urea pope forward recta cavity to fill 100-150 mL of methylene blue dilution to observe the opening of anastomosis.

探讨直肠癌行低位Dixon手术，术中采用肠腔封闭式加压灌注检测及术后放置支架管引流对吻合口瘘的预防作用。1本组低位直肠癌患者经腹腔完成直肠癌直肠前切除吻合后，用肠钳在吻合口上端5cm处钳夹肠管，再经肛门插入1条22#Foley尿管，尿管球囊注入15~20mL水后向外拖动尿管至有明显阻力时停止。

Methods A retrospective analysis was performed in 14 cases of urinary obstruction among 1090 cases of transplanted kidney in the year 2000-2006, including 9 cases of vesicoureteral anastomotic stricture, 6 of whom received a second vesicoureteral anastomosis, one had infection surrounding the renal graft and ureter end necrosis, two ureteral anastomosis with bladder muscle flap, and one stenostomia aerocyst distention under ureteroscope.

回顾总结2000-2006年我院1090例肾移植患者中的14例移植后上尿路梗阻患者，其中输尿管膀胱吻合口狭窄9例，6例行膀胱输尿管二次吻合手术，1例移植肾周感染输尿管末段坏死采用移植肾近端新鲜存活输尿管与自体输尿管吻合，1例采用膀胱肌瓣代移植输尿管，1例采用输尿管镜下气囊扩张后放置双J管。

Methods: The model was established with two cuff technique; The donor was perfused through the abdominal aorta with cold perfusate; The anastomosis of the suprahepatic vena cava was sutured end to end with 8~0 nylon line, and the continuity of portal vein and infrahepatic vena cava were established by means of cuff method respectively. The bile duct anastomosis was performed with internal stent.

采用二袖套法行大鼠原位肝移植，供体经腹主动脉进行肝脏冷灌注，肝上下腔静脉采用手缝合法进行吻合；门静脉和肝下下腔静脉用袖套法吻合；胆总管采用单管内支架胆管端端吻合。

RESULTS AND CONCLUSION: Among the 34 cases receiving conservative treatment, 2 got urinary tract infection repeatedly, and 5 got the stenosis of ureterovesical anastomotic stoma.

结果与结论：保守治疗34例中反复尿路感染2例，输尿管膀胱吻合口狭窄5例；手术治疗68例中输尿管与输尿管吻合狭窄2例，输尿管膀胱吻合口狭窄1例和输尿管逆流1例。

RESULTS: In 73 cases, 56 cases underwent direct searching method, 15 cases adopted curve needle method and 2 cases underwent incision of lacrimal sac.

结果：经治疗73例患者中直接寻找法吻合56例，弯针法吻合15例，泪囊切开法吻合2例。

Methods 136gastric cancer patients,who underwent total gastrectomy using threereconstruction proceˉdures between1993and2002,were retrospectively evaluated with their digestive symptoms and nutritional status.The three procedures are Braun anastomosis,Roux-en-Yreconstruction and Roux-en-Y with P-shaped anasˉtomosis.Results Both RY and PRY reconstruction have superiority in anti-esophagus reflux than Braun anastomosis.

1993～2002年行全胃切除术的136例胃癌患者，分别采用袢式空肠代胃+Braun吻合、单纯Roux-en-Y吻合和Roux-en-Y吻合+P形代胃三种方式重建消化道，对这些患者进行回顾性分析，以术后的消化道症状和营养状况作为评价依据。

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。