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双语推荐:修补本

目的:比较3种不同无张力疝修补术的疗效。方法:采用前瞻性随机对照研究,用随机数字表法将符合纳入条件的患者分为3组,每组50例,分别进行疝环网塞补片式无张力修补术(Mesh-plug组)、Lichtenstein无张力修补术(Mycromesh组)和前入路腹膜前修补术(MK组)治疗,比较3种修补方法的术后并发症及治疗效果。结果:Mesh-plug组平均手术时间39 min,Mycromesh组44 min,MK组54 min,Mesh-plug组手术时间较短。Mesh-plug组局部异物感发生例数多(P<0.01),而Mycromesh组局部疼痛感较明显(P<0.05)。研究采用了3种修补方法均未见疝复发。结论:临床上应根据不同的病情选择组织相容性好的修补材料,采取合理的手术方式。
Objective To Compare the efficacy of three different tension-free herniorrhaphies: Mesh-plug, Mycromesh and MK(Modified Kugel Hernia patch). Methods A prospective randomized controlled study to meet the inclusion criteria, patients were divided into three groups(50/group),with the random number table. Mesh-plug Mycromesh and MK(Modified Kugel Hernia patch) were used in different groups respectively. Results The mean operative time in Mesh-plug group was 39min, in Mycromesh group was 44 min and in MK group was 54 min. The differences among three groups were statistically significant. Local foreign body sensation was more in Mesh-plug group (P<0.01), local pain was more obvious in Mycromesh group (P<0.05). In this study, three repair methods showed no recurrence of hernia. Conclusion Better results of herniorrhaphy depends on repair materials with good histocompatibility, and reasonable surgical option according to individual patients.

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介绍了李家峡水电站左底孔泄水道经过长时间泄水后边墙混凝土冲蚀破坏的情况,经过对左底孔泄水道的缺陷检测和成因分析,有针对性地制定了施工方案,优选了混凝土缺陷修补材料。工程选择的修补方案及施工技术可在类似工程中推广应用。
This paper introduces the erosion of the concrete of the left spillway of Lijiaxia hydropower station after long time water discharge. Based on deterioration inspection and cause analysis, concrete re-pairing material has been chosen and a target-oriented repairing scheme was established, worthy refer-ence.

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通过对叶赤铁路线石脑隧道中存在的各种病害的现场考察及分析,提出了相应合理的整治原则及方案。方案中采用新型特种材料JC-41结构修补剂和JC-12快速堵漏剂在既有铁路隧道衬砌修补加固,并根据实际情况设计施工方案、采用相应的技术措施及施工安全措施。
Appropriate and reasonable renovation principles and schemes are proposed based on the site inspection and the analysis of the existing various diseases of Ye Chi line Shi Nao railway tunnel.In the proposed scheme,we adopt new special material JC-41 Structure healant and JC-12 Fast Leak-stopping Agent to repair and strengthen the existing railway tunnel lining,design construction scheme and adopt the corresponding technical measures and construction safety measures according to the physical truth.

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目的探讨超普疝修补装置(UHS)在腹股沟疝修补术中的方法及效果。方法回顾性分析2011年4月~2013年5月诊疗小组采用UHS行无张力修补的59例腹股沟疝患者的临床资料,所有病例行UHS疝修补时上层补片均未予以缝合固定。结果59例共72侧腹股沟疝,平均一侧腹股沟疝手术时间为(45.5±19.6)min,围术期无死亡病例,术后出现阴囊血肿1例共2侧,切口下血肿1例,切口周围青紫2例共4侧,局部异物感8例9侧,无切口感染。随访7~24个月,无复发病例,3个月后局部异物感1例共2侧,3个月后有慢性疼痛1例。结论USH在腹股沟疝修补术中可以不予缝合固定上层补片,其治疗效果确切,术后远期局部异物感及慢性疼痛发生率令人满意。
Objective To explore the method and effect of tension-free hernia repair with application of ultrapro hernia system (UHS)in inguinal hernia. Methods A retrospective analysis of the clinical data of 59 patients of inguinal hernia underwent tension-free hernia repair with UHS during the period from April 2011 to May 2013. The upper patch of UHS did not stitch. Results There was 71 cases operation in 59 patients. The average operation time was (45.5±19.6)min. There was no dead case. In al cases, there were 2 cases of scrotal hematoma in 1 patient, 1 case of incision hematoma, 4 cases of bruises around incision in 2 patients, 9 cases of local foreign body sensation in 8 patients. No incision infection occurred. Al cases were fol owed up for 7 to 24 months. There was no recurrence case. There were 2 cases of local foreign body sensation in 1 patient stil . There was 1 cases of chronic pain. Conclusion Although the upper patch of UHS do not stitch in inguinal hernia repair, its tr

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探讨新式阴道前壁补片修补术术式的创新性及优、缺点,以及其对女性压力性尿失禁(SUI)的近期手术疗效。方法:对2009年1月至2012年2月我院收治的106例女性SUI患者行新式阴道前壁补片修补术。采用主观评价尿失禁问卷简表(ICIQ-SF)、客观评价尿垫试验等方法评价该术式的近期手术疗效。与经典文献Burch手术及TVT等术后1年治愈率比较,探讨此手术的创新性及优、缺点。观察患者的围手术期及术后并发症情况。结果:新式阴道前壁补片修补术术后1年,患者的治愈率为90.57%,ICIQ-SF评分明显降低(P0.001)。与Burch手术、TVT等术后1年的治愈率比较,无显著差异(P0.05)。患者围手术期的尿路感染、排尿不尽等并发症的发生率为9.43%,尚未发现严重术后并发症。结论:新式阴道前壁补片修补术符合手术目的预期,具有微创化、经济、近期治愈率高和术后并发症率低等优势,但中远期治疗效果需继续随访。
Objective:To investigate the clinical short-term effects,innovation,advanta-ges and disadvantages of a new vaginal mesh-repair surgery against stress urinary incontinence (SUI). Methods:From Jan. 2009 to Feb. 2012,106 cases of female SUI treated with the new surgery. Short term outcomes after surgery were analyzed by objective method ( ICIQ-SF) ,sub-jective method( ped-test) and complications. Compare and analyze 1 year cure rate of the new operation with the Burch retropubic urethropexy and tension-free vaginal tape procedure( TVT) from classics literature. The innovation, advantages and disadvantages were investigated. Re-sults:According to ped-test evaluation, the successful rate of the new operation reached 90. 57%. The analysis found no difference in cure rates at 1 year among this operation, the Burch and TVT. The complications rate such as urinary infection was 9. 43%. There was no se-rious complications. And ICIQ-SF scores significantly reduced compared with the preoperative (

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目的研究旨在探讨采用胆道修复术对胆管大范围缺损Mirizzi综合征患者进行治疗的临床疗效及安全性,为临床治疗提供参考意见。方法回顾性分析在院行胆道修复术的22例胆管大范围缺损Mirizzi综合征患者的治疗手段和临床疗效,其中有12例采用带血管蒂胃瓣修补治疗,10例行带脐静脉瓣胆道修复术,对两组患者的一般资料、临床资料及治疗结果进行对比分析。结果两组患者的临床资料比较差异无显著性(P0.05);胃瓣修补组和脐静脉瓣修复组发生的术后并发症主要为胆管炎症,分别为4例(33.33%)和3例(30%),各组不良反应分别相加得出胃瓣修补组8例,脐静脉瓣修复组5例,两组采用Fisher精确检验得出P0.05,两组术后不良反应差异无显著性。结论对胆管大范围缺损Mirizzi综合征患者采取胆道修复术(脐静脉瓣胆道修复术、带血管蒂胃瓣修补术)均是行之有效的治疗措施,术后并发症状轻微,无死亡病例发生,可以作为Mirizzi综合征患者的首选治疗措施。
ObjectiveTo investigate the prosthesis operation of bile duct for clinical efifcacy and safety of treatment for bile duct defects in patients with Mirizzi syndrome, and provide a reference for the clinical treatment of bile duct defects in Mirizzi syndrome.MethodsA retrospective analysis of 22 cases of bile duct defects in Mirizzi under went biliary tract prosthesis syndrome treatment and clinical curative effect of the patients, including 12 cases with vascular pedicled gastriclfap for repair of treatment, 10 cases with umbilical vein graft repair of biliary tract, carries on the contrast analysis to the general data, clinical data of two groups of patients and treatment results.ResultsThe clinical data of two patients were not statistically signiifcant (P>0.05); gastric lfap in the repair group and umbilical venous lfap group,postoperative complications occurring mainly for bileduct inlfammation, were 4 (33.33%) and 3 (30%), each dystrophy respectively sum gastriclfap in the repair g

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明末昆山文人张大复著有《梅花草堂集》、《梅花草堂笔谈》、《闻雁斋笔谈》、《昆山人物传》等作品。其中,六卷的《闻雁斋笔谈》成书于明万历三十三年(1605);十四卷的《梅花草堂笔谈》初刻时间为明崇祯三年(1630),但因兵燹之灾,《笔谈》部分刊板散失,后世流传版为清顺治十二年(1655)修补本
Zhang Da‐fu ,comes from Kunshan ,who had lived in the late Ming Dynasty period .He has many famous works , such as the collection of poems and proses _《Meihua Caotang》 ,essays《Wenyan Zhai》and《Meihua Caotang》 ,and also《The Biographies of Kunshan》 .Among them ,《Wenyan Zhai》 includes six volumes ,and was published at 1605 .《Meihua Cao‐tang》 has fourteen volumes ,it’s first edition was published at 1630 ,but then some were lost in the war ,which happened in the late period of Ming Dynasty .And later some people repaired it at 1655 .

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目的探讨腹股沟疝修补术治疗分别应用前入路PHS术式及后入路Kugel补片的临床效果。方法选择2006年6月~2012年6月科室145例腹股沟疝患者,根据术式分为对照组(94例)和观察组(51例),对照组患者实施前入路PHS疝修补,观察组患者实施后入路Kugel补片疝修补,术后对比两组患者的疼痛、复发等指标。结果观察组术后24 h VAS评分为(1.83±0.81)分,随访慢性疼痛发生率为1.96%(1/51),均低于对照组的(3.26±1.47)分、7.45%(7/94),差异有统计学意义(t=5.452,P=0.009;χ2=7.276,P=0.003)。观察组阴囊肿胀发生率、局部异物感发生率低于对照组,差异有统计学意义(P0.05);两组手术时间、住院时间、恢复正常活动时间、感染率、复发率比较,差异无统计学意义(P0.05)。结论 Kugel补片后入路术式创伤小,恢复快,安全性高,不易复发,临床可选择此术式。
Objective To investigate the clinical effect of anterior PHS operation and posterior Kugel patch for inguinal hernia repair. Methods 145 cases of patients with inguinal hernia from June 2006 to June 2012 were selected,and were divided into control group (94 cases) and observation group (51 cases) according to surgical methods,control group were implemented with PHS hernia repair,observation group were implemented with Kugel mesh hernia repair,postoperative pain,relapse and other indicators were compared between two groups. Results VAS score of observation group after 24 h was 1.83±0.81,follow-up of chronic pain incidence was 1.96% (1/51),lower than 3.26±1.47 and 7.45% (7/94) of the control group,the difference was significant (t=5.452,P=0.009;χ2=7.276,P=0.003).The incidence of scrotal swelling and local foreign body sensation in observation group was lower than that of the control group,the difference was significant (P 0.05). Conclusion Kugel posterior inguinal approach h

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目的探讨13例剖宫术后瘢痕妊娠临床分析。方法采用B超检查及各项生化指标检查的方法或技术手段来分析13例剖宫术后瘢痕妊娠患者的临床特点,早期诊断,治疗方法及预后。结果 13例患者均有剖宫术史及停经后阴道流血史;诊断依据经阴道彩超提示剖宫产瘢痕部位妊娠可能;8例行甲氨蝶呤+米非司酮+清宫保守治疗,4例子宫下段瘢痕病灶切除子宫修补术(2例行经阴道,2例经腹部),1例外院清宫术后大出血,急诊行次全子宫切除术。结论剖宫术后瘢痕妊娠早期运用B超检查能明确诊断,并确定治疗方案,能有效降低大出血的风险,有积极的临床意义;经阴道子宫下段瘢痕病灶切除+子宫修补术出血少,创伤小,住院时间短,血β-HCG下降快等优点,是治疗病的首选方法。
Objective To clinically analyze 13 cases of cesarean scar pregnancy after cesarean section. Methods Type-B ultrasound, tests of biochemical indices and other technologies were applied to analyze the clinical characteristics, early diagnosis, treatment method and prognosis of 13 patients of Cesarean scar pregnancy. Results All 13 patients had a history of Cesarean section and post-menopausal vaginal bleeding; the diagnosis, based on vaginal color Doppler ultrasound, showed the possibility of Cesarean scar pregnancy; 8 patients received a conservative treatment of methotrexate plus mifepristone plus uterus cleaning. 4 patients received resection of scar lesions in lower uterine segment plus uterus repair (2 trans-vaginal, 2 trans-abdominal). 1 patient had hemorrhea after uterus cleaning in another hospital and received subtotal hysterectomy in the emergency clinic. Conclusion Early application of B-type ultrasound helps confirm the diagnosis of cesarean scar pregnancy, determine the trea

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介绍了矿渣超细粉的特点和在高性能混凝土、灌浆材料、混凝土结构修补材料和高铁无砟轨道材料中的应用情况,并介绍了目前利用球磨机、振动磨、辊压机和立磨等粉磨设备生产矿渣超细粉的工艺流程以及生产中存在的产量低、成高和粉尘收集困难等问题,最后展望了矿渣超细粉的应用前景并提出了研究领域的研究者们需要努力的方向。
The characteristics and application of superfine slag powder in high performance concrete,grouting mate-rial,repair materials for concrete structure and high-speed rail ballastless track material of superfine slag powder were introduced,as well as the process for the production of superfine slag powder with ball mill,vibrating mill, roller press grinding,vertical mill equipment.The problems in production are pointed out,such as low yield,high cost and difficult dust collection.Finally,the foreground of application of superfine slag powder and the research di-rection are described.

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