夹钳

The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果：1、钳夹分离切肝法不需特殊仪器设备，只要具备常规的腹腔镜器械即可实施，成本低，肝断面较易渗血；2、微波固化切肝法肝实质出血很少，视野清晰，成本低，操作简单，是一种安全、简便、有效的方法；3、超声刀是目前较为理想的切肝器械，术中出血少，但是，切割速度慢，手术时间长，而且，切割强度有限，适用于无肝硬化的肝切除；4、Ligsure具有挤压粉碎及高频电凝止血两大功能，可使包括7~以下管道的肝组织碳化、形成焦痴，具有一定的优势，但是，也存在分离钳电凝止血的缺点；5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感，便于术中显露、分离、控制出血等，可随意协助右手及助手的主要操作，缩短了手术时间，大大提高了腹腔镜肝切除的安全性，李朝龙等的改良方法，同样达到了手辅助目的，又节省了费用；6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术，操作简单、可靠，适用于肝左外叶切除及右肝第V段切除；7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构，多用于肝左静脉、门静脉分支、管径较大胆管的切割，缺点是不能用于较厚肝组织的切割，而且价格昂贵；8、临床巧例腹腔镜肝切除均获得成功，手术时间最短1.5h，最长sh，平均125 min，多数在100 min左右，手术出血量最少50 ml，最多500 ml，平均1 78 ml，除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水，1例术后发生胆漏外，其余无并发症，发生胆漏的1例患者术后住院40d，多数在术后一周左右出院，术后住院时间5一40d，平均gd。

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We do not separately skeletonize the renal ein and artery during LPN. We think that indiidual essel skeletonization is unnecessary, and might een be counter-productie for the following reasons:1it is not mandatory for achieing adequate clamping;2 it might result in renal artery asospasm;3 it increases the risks of iatrogenic ascular injury with serious sequelae;4 some hilar fat might cushion the renal essels, minimizing crush injury to the endothelium by the clamp, especially in cases of atherosclerotic renal arteries;5 it requires ≈ 30 min of precious operating time, detracting the surgeon from the primary goal of the procedure.

在LPN过程中不分离肾动静脉轮廓，因其并无必要，如分离可能由于以下原因达不到预期目的：1 不必充分夹紧；2可能导致肾动脉痉挛；3增加医源性血管损伤及其严重后遗症的风险；4肾门脂肪可能对于肾脏血管起到缓冲作用，减少钳夹对于上皮组织的挤压伤，特别是对于动脉粥样硬化的肾脏动脉病例；5 导致达到手术目的的时间中花费大约30分钟宝贵手术时间。

He held it between the jaws of a spanner.

他用扳钳的钳口夹住它。

The duration of hospitalization was 4～7 d(mean=4.6 d). Conclusion It is safe and feasible for silk suture to ligate the cystic duct and the cystic artery in LC. Compared to the existing knot-tying device and medical suturing instrument, the new-type instrument helps to offer less knot-tying difficulty and higher knot-tying efficiency, so it is worthy of being popularized.

住院4～7 d，平均4.6 d。结论在LC术中应用腹腔镜多功能夹持钳以丝线取代钛夹和生物夹结扎胆囊管和胆囊动脉是安全、可行的；本新型器械与现有缝合打结器械相比，能有效降低利用丝线结扎组织的难度，提高打结效率，具有很高的推广应用价值。

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。

Slotted belt with clamp for loosening or tightening of belt to open or close the perforations on the body.

带钳夹式槽杆，可拧松紧，以开闭桶身上的孔槽拧紧嵌夹时，槽杆将保持一定的张力

Methods:Clinical data collected from august,1998 to October 2005 of 15 cases severe postpartum hemorrhage treated with cervical clamp clamping cervices were retrospectively reviewed.

方法回顾分析我院1998～2005年间采用宫颈钳钳夹宫颈术治疗产后出血量达到或超过1000m l或合并休克的15例病例临床资料。

The therapy of severe postpartum hemorrhage with cervical clamp clamping cervices has advantages of high efficiency,simple manipulation and short operation time and should be extended em-ployed.

应用宫颈钳钳夹宫颈术治疗重度产后出血，具有成功率高、操练简便、手术时间短的优点，值得临床推广应用。

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Objective: To study the effect of polycythemia on blood oxygen saturation.

裴蕾目的：观察RBC剧增而引起的高粘血症对血氧饱和度的影响。

Based on SIMPLER algorithm in the curvilinear body-fitted coordinates, the calculations were performed for Pr=0.7, Re=10~1000 on non-orthogonal non-staggered grids which are generated by elliptic equation systems.

采用曲线坐标系下压力与速度耦合的SIMPLER算法，数值研究了周期性渐扩渐缩波纹通道内脉动流动与换热情况，流动Re数的范围为10~1000，Pr数为0.7。