吻合术

Their ages at operation were between 5 hours and 8.5 years, with a median of 4 days. Surgical treatment included duodenojejunostomy in nine, duodenoduodenostomy in five and duodenotomy with duodenoplasty in one.

病人手术时的年龄介於5小时大与8岁半之间，9个人接受十二指肠空肠造口吻合术，5个人接受十二指肠与十二指肠吻合术，1个人接受十二指肠切开术和十二指肠造形术。

Emergency operation were performed on 21 patients,including embolectomy on 9 cases, embolectomy and intestinal resection on 8 cases, intestinal resection and anastomosis on 3 cases, intestinal resection and enterostomy on 1 case.,expectant treatment on 6 cases.

急诊行手术治疗21例，其中单纯行肠系膜上动脉取栓术9例，肠系膜上动脉切开取栓加肠切除吻合术8例，单纯肠切除吻合术3例，肠切除加肠造瘘术1例。保守治疗6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。

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。

Cases were undergone choledocholithotomy with T-tube drainage , 39 cases cholangiojejunostomy with T-tube drainage , 28 cases lobectomy of liver, 16 cases plastic repair of hepatic portle duct with cholangiojejunostomy.

其中肝胆管切开取石T管引流术47例，肝胆管切开取石+胆肠吻合术39例，肝部分切除术28例，肝门部胆管切开成形+胆肠吻合术16例。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访，随访6 月～10年，术后优良率及残石率分别：肝胆管切开取石T管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访，随访6个月～10年，术后优良率及残石率分别为：肝胆管切开取石T管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

The reoperation styles as follows: choledochocholedochostomy,Roux en y choledochojejunostomy,laparotomy of hematischesis,EST, choledocholithotomy. 19 cases were all cured by operations without severe neopathy.

再手术方式分别为胆总管端端吻合术、胆总管空肠Roux en y吻合术、剖腹止血术、EST、胆总管切开取石术。19例均经手术治愈，未出现严重并发症。

Results 114 cases were follow-up surveyed from 6 months to 10 years, after operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with t-tube drainage ,78.38%、32.43% in cholangiojejunostomy with t-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy.

结果 114例得到随访，随访6个月～10年，术后优良率及残石率分别为：肝胆管切开取石t管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

Methods:The incisional infection rates between the manual way (43 cases) in March 1998 and the anastomat way (59 cases) in March 2006 in the esophagogastrostomy after resection fo esophageal carcinoma were compared.

回顾分析我院1998年3月手工吻合43例与2006年3月器械吻合59例病人行食管癌切除食管胃吻合术，比较器械吻合组和手工吻合组术后切口感染率的发生。

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。