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吻合术

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To evaluate the efficacy of the monolayer anastomosis above chest top in front of aortic arch with domestic anastomose apperatus in treatment of esophageal cancer.

探讨食管癌用国产吻合器在食管胃经主动脉弓前超胸顶单层吻合术中的应用。

Primary repair and Roux-en-Y duodenojejunostomy and Modificed Cogbill's technigues for diverficalization are practical operation.

十二指肠修补术、十二指肠空肠Roux-en-Y吻合术和Cogbill改良憩室化手术再简化手术是治疗十二指肠损伤的实用方法。

Results Two cases died during operation including, one with gastroenteroanastomosis and the other one with gastrostomosis.

结果 围手术期死亡2例,其中胃肠吻合术1例,胃造瘘术1例。

Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy, andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy.

结果:本组中,术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高,胃镜、上消化道造影是诊断本病有价值的方法,经保守治疗后胃肠动力一般可在术后5周内恢复正常。

Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy, andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy. Gastroscopy and upper gastrointestinal series served as a valuable measurement in diagnosis. In general, GI motility could be restored after 5 weeks of conservative therapies.

结果:本组中,术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高,胃镜、上消化道造影是诊断本病有价值的方法,经保守治疗后胃肠动力一般可在术后5周内恢复正常。

According to the result of the bariam enema examination after 6 Months,the average diameter of microcolon was 15mm.And based on the pathological report by frozen section during the 2nd operation.Gangliocyte could be seen into the mucous layer of the microcolon.They were all accepted the end-to end intestinal conastomosis in two-stage operation and be used intravenous feeding for 7 days.

第一期做正常的结肠造瘘,嘱家长在6个月内每日坚持予温盐水灌肠,以刺激小结肠的发育,避免废用性萎缩,6个月后回院行钡灌检查提示:原狭窄肠段直径平均15mm,第二期术中送检小结肠黏膜提示有神经节细胞,故行结肠端―侧吻合术,术后予静脉营养1周。

Traditionally, methods of urinary diversion include percutaneous nephrostomy, ureterocutaneostomy, ileal conduit and uretero-sigmoidostomy.

传统性的尿道分流方式有:经皮肾脏造瘻,输尿管皮肤造口术,回肠通路或输尿管乙状结肠吻合术

Results In group A, 5 cases underwent elective colectomy. Half year after operation, 3 cases with normal defecation, 2 with constipations relapse. In group B, 8 cases underwent subtotal colectomy and partial rectectomy with cecorectal anastomosis. One with constipations relapse, other patients had 37 times of defecation per day after half year of operation.

结果 A组:采用选择性结肠肠段切除术治疗5例,术后半年内随访,3例大便正常,但有2例便秘复发。B组:采用结肠次全切除和部分直肠切除,行盲直肠吻合术治疗8例,有1例术后半年内便秘复发,其他患者术后半年内排便次数为3~7次/d。

Methods 7 cases with rerupture of achilles tendon were performed with VY tenoplasty and direct anastomosis according to the longth of deficiency.

7例患者根据跟腱缺损长度分别采用VY延长术及直接吻合术

Total proctocolectomy and ileostomy is a cure for UC,total proctocolectomy and ileal pouch-anal anastomosis improves defecation control but followed by a high incidence of stomal ulcer.

全结肠切除、回肠造口术治疗较彻底,全结肠直肠切除,回肠贮袋肛管吻合术可以改善排便控制功能,是目前治疗溃疡性结肠炎较好的手术方式。

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