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病理报告检查翻译

发布者:鑫达医学翻译 发布时间:2013-05-30阅读:

原文

冰冻病检报告为梭形细胞肿瘤,陈双教授认为肿瘤广泛浸润,无法完整切除,建议将肿瘤旷置。在腹膜后肿瘤右边界切开后腹膜,找到右输尿管,查肿瘤侵犯压迫右输尿管中下段,之上输尿管扩张,直径约为1cm,向下游离被肿瘤压迫的输尿管,并取输尿管旁肿瘤组织块送病检。查肿瘤压迫输尿管以下无法分离,于是决定将阑尾代输尿管。于阑尾根部环切盲肠壁1周,缝合盲肠全层并浆肌层加固,适当松解阑尾系膜,切除阑尾尾断暴露阑尾腔,劈开尾端与输尿管近端全层连续缝合,置入F6双J管,上端至肾盂。膀胱注N.S250ml,膀胱右后顶壁切开长约1cm开口,吸净膀胱内尿液,双J管下端置入膀胱,阑尾肓肠端与膀胱开口全层连续缝合。N。S冲洗腹腔,彻底止血,盆腔右侧置引流管1根,另戳孔引出并固定。查对器械,纱布无误后逐层缝合切口并减张缝合。术毕。
 

译文

Pathological examination indicated spindle cell carcinoma. Extensive infiltration of tumor cells was observed. As complete resection was impossible, exclusion of the tumor was recommended. The posterior peritoneum was cut via the right boundary of the tumor. Then the right ureter was separated, of which the middle and inferior segment was compressed by the tumor. Dilatation of ureter (about 1cm in diameter) was observed at the superior segment. The oppressed ureter was isolated and the tumor mass beside the ureter was collected for pathological examination. The ureter below the oppressed segment can’t be separated. Thus, the appendix was used to replace the ureter. The circumcise of the cecum wall was performed at the root of the appendix. The layer of cecum was sutured and the seromuscular layer was reinforced. The mesoappendix was moderately loosened. The end of the appendix was ablated and the cavum was exposed. Subsequently, the terminus of the appendix was separated from the proximal end of the ureter. J tube was inserted up to the renal pelvis. After that, 250 ml normal saline was injected into the bladder. An incision (about 1 cm) was made at the right posterior vertex wall of the bladder. Urine in the urinary bladder was drained. The lower end of the J tube was inserted into the bladder. Then, continuous suture was performed for the appendix and the opening of the bladder. The abdominal cavity was washed using normal saline to stop bleeding. A drainage tube was inserted into the right cavitas pelvis. Then fix the tube through making a pore. Finally, gradual suturing to the incision was performed together with tension suture. 

 

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