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吻合口瘘
相关语句
  anastomosis fistula
    Interventional Therapy for Gastroesophageal Anastomosis Fistula with Mushroom Shape Covered Stent
    食管-胃吻合口瘘蘑菇状内支架置入治疗研究
短句来源
  相似匹配句对
    Interventional Therapy for Gastroesophageal Anastomosis Fistula with Mushroom Shape Covered Stent
    食管-胃吻合口蘑菇状内支架置入治疗研究
短句来源
    Objective:To assess the efficacy of the interventional therapy for postoperative strictures and fistula of esophagus.
    目的:探讨食管手术后,吻合口狭窄和的介入治疗方法的选择。
短句来源
    ENTERAL FISTULAE CAUSED BY RADIOTHERAPY
    放射损伤性
短句来源
    Pulmonary Arteriovenous Fistula
    肺动静脉
短句来源
    Conclusion:The anastomotic stenosis is the most suitable indication using stents.
    结论 :食管—胃吻合口狭窄是食管内支架治疗最适宜的适应证 ;
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  anastomotic fistula
Nonfatal postoperative complications consisted of respiratory distress in 33 patients, recurrent nerve palsy in 10, anastomotic fistula in 10 (cervical in 8 and intrathoracic in 2) and anastomotic stenosis in 18 patients.
      
The esogastric anastomotic fistula,occurring after the replacement of esophagus by the stomach, is a post-operative complication always feared and awaited.
      
Six patients developed an anastomotic fistula (21% with the ITRvs 22% with the RSR;P not significant), whereas an anastomotic stenosis occurred in 13 patients (67% with the RSR, and 37% with the ITR;P>amp;lt;0.07).
      
Another developed an anastomotic fistula, which was treated conservatively with a thoracotomy and resolved.
      
In the fourth patient an anastomotic fistula into the vagina was diagnosed 3 months after the primary operation.
      


Objective: It is the objective to raise the survival rate and quality of life in patient with gastric carcinoma or intestinal carcinoma. Methods: Since Oct 1995, in the operation, after resecting the gastric or intestines tumor, the area of lymph drain that gastric carcinoma or intestinal carcinoma were irradiated by the 6-14meV electron beam (DT: 20~25Gy)(31 cases). And the control group (71 cases) was operated only. All of cases were cured by chemotherapy of MF+CF after the operation. Its effect was analised....

Objective: It is the objective to raise the survival rate and quality of life in patient with gastric carcinoma or intestinal carcinoma. Methods: Since Oct 1995, in the operation, after resecting the gastric or intestines tumor, the area of lymph drain that gastric carcinoma or intestinal carcinoma were irradiated by the 6-14meV electron beam (DT: 20~25Gy)(31 cases). And the control group (71 cases) was operated only. All of cases were cured by chemotherapy of MF+CF after the operation. Its effect was analised. Results: There was no different between the two groups in wound healing and recovery of vermiculation after the operation ( P >0.05). Operation time with the group of introoperative radiotherapy was longer about 20-30 Min. than the control groups. There was no change of total and component of leucocyte after operation. Two groups did not happened complication after operation, such as bleeding, stoma fistula and bowel necrosis. There were the bowel necrosis, and pancreas malfunction & adhesion of intestine, and relapse after opration. Conclusions: Introoperative radiotherapy is a safety and operative therapy. There is active significance that introoperative radiotherapy is used in the patiens with gastric carcinoma or intestinal carcinoma.

目的 :旨在进一步提高胃肠道肿瘤病人的生存率和生活质量 ,寻求新的安全有效的治疗方法。方法 :1995年 10月开始我们随机对胃肠道肿瘤病人在手术切除肿瘤后 ,术中对肿瘤淋巴引流区采用电子束照射 2 0~ 2 5Gy(31例 ) ,同期对照组 (71例 )仅行手术 ,两组术后均行MF +CF或口服氟脲嘧啶化疗 ,就安全性进行分析。结果 :术后伤口愈合情况和肠蠕动恢复同常规胃肠道肿瘤手术 (P >0 .0 5 ) ,手术时间比通常延长 2 0~ 30min ,实为放射治疗时间。术后复查血常规 ,也未发现白细胞总数或成分明显变化。两组病例均未发生术后出血、吻合口瘘、肠坏死等并发症。术后至 2 0 0 1年 2月其远期随访中未发现肠坏死、以及局部纤维化造成的胰腺功能不良或者肠粘连 ,也未发现术后局部复发。结论 :术中放疗本身是一种既经济、又安全有效的综合治疗措施。术中放疗对胃肠道肿瘤病人的预后等方面有其积极意义

Objective To evaluate the value of angiography and cholangiography on the diagnosis and interventional treatment on vascular and biliary complications after liver transplantation. Methods Sixteen of 46 patients (15 males, 1 female, 17-60 years old ) after orthotopic liver transplantation received angiography due to abnormal ultrasonography or edema of lower limbs, or cholangiography due to progressing jaundice. 15 cases received angiography and proved vascular complications and 4 cases received cholangiography...

Objective To evaluate the value of angiography and cholangiography on the diagnosis and interventional treatment on vascular and biliary complications after liver transplantation. Methods Sixteen of 46 patients (15 males, 1 female, 17-60 years old ) after orthotopic liver transplantation received angiography due to abnormal ultrasonography or edema of lower limbs, or cholangiography due to progressing jaundice. 15 cases received angiography and proved vascular complications and 4 cases received cholangiography and biliary complications were found. 3 of them appeared both vascular and biliary complications. Results Hepatic artery complication was the most common complication (seen in 9/16 patients), including hepatic artery thrombosis or stenosis (6/9), bleeding (2/9) and hepatic artery-dissecting aneurysm(1/9). One case with hepatic artery thrombosis received transcatheter thrombolysis and two cases with bleeding received coil embolization. Stenosis of inferior vena cava and portal vein were observed in 6 and 2 patients respectively. After balloon angioplasty or stent placement, clinical symptom of all cases alleviated. Biliary complications including biliary stricture and anastomotic bile leak occurred in 4 patients. Jaundice decreased after percutaneous transhepatic cholangiohraphy and drainage. Conclusion Interventional methods offered both diagnosis and mini-invasive treatment for patients after liver transplantation with vascular and biliary complications. Balloon angiography and stent placement of venous stenosis is an useful procedure for the treatment of these problems.

目的 评价血管造影和胆管造影诊治肝移植术后血管及胆管并发症的价值。方法  46例原位肝移植术后B超提示血流速度不畅或频谱异常、下肢水肿或黄疸的患者 16例 ,进行腹腔动脉造影 10例次 ,下腔静脉造影并球囊扩张或支架置入 6例次 ,经皮肝穿刺门静脉造影并支架置入 2例次 ,经皮肝穿刺胆管造影并引流 4例次。结果 肝动脉血栓形成 2例 ,1例经溶栓治疗后部分开通 ;肝动脉狭窄 4例 ,1例球囊扩张后狭窄减轻 ;所有下腔静脉和门静脉阻塞或狭窄行球囊扩张及置放支撑架后临床症状好转 ;4例胆管狭窄和吻合口瘘者行经皮肝穿刺胆管造影引流 (PTCD)治疗后黄疸减轻。结论 对肝移植术后出现的血管和胆管并发症 ,血管造影和胆管造影不仅可明确诊断 ,而且能同时进行处理并取得较好的近期疗效。

Objective:To assess the efficacy of the interventional therapy for postoperative strictures and fistula of esophagus.Methods:50 cases of postoperative strictures and fistula of esophagus treated with interventional therapy were studied retrospectively.Results:23 cases of anastomotic strictures and fistula were treated with stent placement and other 27 cases treated with balloon dilatation.The results were satisfactory.Conclusion:Interventional therapy for postoperative anastomotic stricture and fistula is effective....

Objective:To assess the efficacy of the interventional therapy for postoperative strictures and fistula of esophagus.Methods:50 cases of postoperative strictures and fistula of esophagus treated with interventional therapy were studied retrospectively.Results:23 cases of anastomotic strictures and fistula were treated with stent placement and other 27 cases treated with balloon dilatation.The results were satisfactory.Conclusion:Interventional therapy for postoperative anastomotic stricture and fistula is effective. It could be the method of choice for treatment of postoperative complications of esophagus.

目的:探讨食管手术后,吻合口狭窄和瘘的介入治疗方法的选择。方法:回顾性总结50例食管手术后吻合口狭窄和瘘的介入治疗效果及方法。结果:23例吻合口狭窄处和瘘口区支架置放,27例行气囊扩张,治疗效果均较满意。结论:食管手术后吻合口狭窄或吻合口瘘的介入治疗,效果十分明显,比再次手术更有价值。

 
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