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Except one case in which 3D DCE MRA showed severe stenosis but DSA showed moderate stenosis, the results of MRA were all consistent with those of US or/and DSA in the stenosis degree of the portal vein, hepatic vein and the postcava.

除1例吻合口重度狭窄者DSA显示中度狭窄外,其余门静脉、肝静脉及下腔静脉吻合口狭窄程度与超声或/和DSA检查结果一致。

Continues CHIP was performed over 60 minutes on postoperative canines in anaesthesia. The changes of inferior segment of esophagus, heart rate, respire, mean arterial pressure, and central venous pressure were observed. In addition, the temperature of physic liquor, perfusion and take suction were recorded.

在麻醉下行胃空肠吻合术或横结肠吻合术,持续1h腹腔循环热灌注并监测食道下段温度、心率、呼吸、平均动脉压和中心静脉压,记录药液温度、灌注温度和抽取温度的变化。

The anastomosis site had smooth serosa and scar membrane in gross and were substituted by regenerative fibrous tissue.

可降解吻合环应用于肠切除、肠吻合在动物实验中是安全有效的,且优于线缝合组。

Based on the load transmission mechanism of space truss, and referenced theanalysis of test materials, a formula for calculating the bearing capacity of reinforcedconcrete compression strut is introduced. By using the theory of plastic hinge-line, anupper limit solution of bent bearing capacity for four-pile cap, which coincidesprecisely with the practical measurements, is obtained. By utilizing the reaction ofthe soil under cap and by basing on the method of plastic ultimate analysis, an upperlimit solution of punching shear bearing capacity for pile cap is acquired, which. coincides precisely with the practical measurements, and the formula is similar to thecode.A brief discuss on cooperative work of strip beam of foundation and single rankof piles is made. Separately considering the pile-cap and the pile-group, thencoupling their matrix of rigidity, the inner force of pile-cap is solved by the numericalmethod under some reasonable supposition. In comparison with other method, thecalculating results are exact, reliable and convenient in using. The method provides apowerful tQol fOr further analysis and research on this kind of structure.

本文以空间桁架传力机理为基础,结合试验资料分析,推导了钢筋混凝土等边三桩承台受冲切承载力计算公式;根据塑性铰线理论,导得了与试验结果吻合良好的四桩承台受弯承载力的上限解;利用承台底土反力分布,根据塑性极限分析方法,导得了桩基承台受冲切承载力的上限解,在此基础上,通过简化假定,得到与规范公式相类似的承台受冲切承载力实用公式,该公式能方便考虑台底土反力作用,与试验结果的吻合程度比规范公式好;简要讨论了桩基条形承台梁与单排桩的协同工作分析;在一些合理假定的基础上,将承台与群桩分开考虑,分别得到其刚度矩阵后进行耦合,通过数值方法求解承台内力,算例表明,该方法结果准确,使用方便,为该类结构的进一步分析研究及工程设计提供了强有力的工具。

Results The morality rate was zero and there were no cases of leakage at the pancraticojejunostomy and choledocojejunostomy. All patients were discharged from hospital 10-14 days after operation. Postoperative follow-up of long-term choronic complications showed only one patient (3.33%) suffered from chronic steatorrhea and malnutrition, the remaining 29 cases (96.67%) had a good function of digestion and normal nutrition. There were no cases of biler reflux gastric disease, retrograde infection, anastomostic ulcer of gastrojejunostomy, and dumping syndrome.

结果 本组手术死亡率为0,无胰、胆肠吻合漏发生,30例均于术后10~14天康复出院,术后远期慢性并发症随访显示,仅1例(3.33%)患慢性脂肪痢和营养不良症,余29例(96.67%)消化吸收功能正常,营养状况良好,全组无胆汁返流性胃炎、吻合口溃疡、上行性感染和倾倒综合征发生。

Results Compared with silk suture, laser welding had the advantages of fast healing and less inflammatory reaction.

结果:与线缝合法相比,激光焊接吻合的神经吻合口愈合快、炎症反应轻。

The positive rates of retrograde ureteropyelography,CT scanning,IVP,ultrasonography were86.7%、50%、12.5%、12.5%respectively.31of40cases were treated by total nephroureterectomy with segmental cystectomy,3cases by segˉmental ureterocystectomy with ureteroneocystostomy,2cases by segmental ureterectomy with end-to-end anastomoˉsis,2cases by single resection of tumor,2cases by resection of residual ureter with segmental cystectomy.

逆行输尿管插管造影、CT、IVP、B超检查的阳性率分别是86.7%、50%、12.5%、12.5%。40例患者中行患肾+全段输尿管+膀胱部分切除术31例,输尿管下段切除术+膀胱吻合术3例,输尿管肿瘤切除+输尿管端端吻合术2例,单纯输尿管肿瘤切除术2例。

Results Conservative treatment was carried out for 4 patients, ureteroureterostomy for 7 patients, ureteroneocystostomy for 22 patients, bladder valve-ureter anastomosis for 2 patients, vermiform appendix-ureter replacement for 2 patients, and nephrectomy for 1 patients.

结果 4例行双J管保守治疗,7例(9侧)行输尿管端端吻合术,2 2例行输尿管膀胱再植术,2例行膀胱壁瓣输尿管吻合术,2例行阑尾代右侧部分输尿管术,1例行肾切除术。

Firstly,all patients have been excided the upper ductus choledochus,the liver gross duct,left right liver duct besides one centimeter of liver duct that lies upwards the hepatolith.Secondly, we have sutured the excided bile duct, which has been shaped acetabuliform,lifted one part of jejunums,intered non-port one subcuneously,and then inosculated gall with enteron by Roux-en-Y way.Lastly,we have partly excised the ill liver in regular way.Results 26 ones have been follow-up for 1~10 years.The rate is 81 percents,average for 6 years.

32例肝内胆管结石均接受皮下盲袢型胆肠吻合术,其中结石位于右肝7例(22%),左肝9例(28%),两肝均有16例(50%);结石合并肝胆管狭窄24例(75%),全部病例均切开胆总管上部、肝总管、左右肝管,并切开肝内胆管狭窄部以上1cm肝管,将切开的胆管做必要的缝合,形成碟状,取一段空肠上提,盲袢埋置皮下,再做胆肠Roux-en-Y吻合,病肝做规则性肝部分切除术。

The characters of the composition, which is double component sealant made from 1-3% alginic acid sodium and 20% CaCl2 solution, is best in the biological experiment. Before new medical glue appeared in clinical, this gel is hopeful to be applied in clinic and provide theory basis for clinical anastomosis.

质量分数为1%~3%的海藻酸钠水溶液与质量分数为20%的CaCl2组成的双组分密封胶,生物实验中各项性能良好,在新的医用胶面世以前,可以作为血管粘接吻合密封剂,有望在临床中实验推广,为临床血管粘接吻合应用提供理论依据。

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