吻合术

Distal anastomosis was performed to the dorsalis pedis artery in 10 cases and to the plantar artery in five cases, all using ipsilateral greater saphenous vein as graft material.

在10个案例中，医生在足背动脉处执行了末梢吻合术，5个案例在足底动脉处执行了吻合术，所有的患者都将同侧大隐静脉作为移植材料。

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。

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。

Result:2 cases were made definite diagnosis among celiotomy exploratory, 1 case was diagnosed next day after injury, Another 3 cases weren't made definite diagnosis until 5～25 days later. 3 cases were taken ureter or ureter to renal pelvis end-to-end one-stage anastomosis early,2 cases were taken urinary cyst resection and ureter end-to-end anastomosis three months later,1 case performed extravsation of urine drainage only.

结果：2例在早期剖腹探查中明确诊断，1例于伤后d2明确诊断，另3例在伤后5～25d才明确诊断。3例早期行一期输尿管或输尿管肾盂端端吻合术，2例于损伤3个月后行尿液性囊肿切除输尿管端端吻合术，1例行单纯尿液引流。

METHODS: The clinical data of 326 patients received choledochoduodenostomy from 1962 to 2002 were analyzed respectively.

目的：总结胆总管十二指肠吻合术的远期疗效方法：回顾性分析1962-2002年胆总管十二指肠吻合术326例的临床资料。

There are two kinds of operations,the first is interposed jejunal choledochoduodenostomy,the second is Rou-en-Y choledochojejunostomy.

术式有两种，一种为间置空肠胆管十二指肠吻合术，一种为胆管空肠Roux-en-Y型吻合术。

Objective\ To find out a good method to reduce or eliminate the chylothorax after resection of esophageal carcinoma.

目的 寻找减少或消除食管癌切除术后乳糜胸发生率的有效方法。方法随机选取 45例食管癌患者，在食管癌切除加胃食管残端吻合时，一期行预防性低位胸导管结扎术(第 8胸椎水平以下)；另 92例作对照组，仅做食管癌切除加胃-食管残端吻合术。

Methods Eighteen majority medical fitness mongrel canines were randomly divided into three groups: Group A (gastrojejunostomy or colocolic anastomosis + CHIP), Group B and group C (only gastrojejunostomy or colocolic anastomosis).

将成年健康杂种家犬18只随机分为三组：A组（胃空肠吻合术或横结肠吻合术＋腹腔热灌注组）、B组和C组，每组6只。

Abstract］ Objective To operate the dacryocystorhinostomy for the chronic dacryocystitis,during the operation putting methylcellulose into the lacrimal sac that has been cut before.

摘要］ 目的通过对慢性泪囊炎患者施行泪囊鼻腔吻合术，手术中在制作泪囊鼻黏膜瓣前应用甲基纤维素，评价其在提高泪囊鼻腔吻合术成功率的作用。

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。