查询词典 bile-cyst

Results All patients underwent percutaneous cholecystostomy with technical success without major periprocedural complications. 93 (96%) patients responded well clinically showing disappearance of right upper abdomen pain and fevers within 72hr. 4 patients complicated with common bile duct stones were underwent PTCD one day after the procedure because of no response clinically. After PTCD, all 4 patients attained clinical symptom relief within 72hr.

结果 所有97例患者均一次置管成功，无任何并发症。93例(96%)患者临床体征如右上腹疼痛、发热在72h内缓解；同时，血常规中的WBC及中性粒细胞均于72h内降至正常范围。4例患者由于肝总管内结石合并胆管炎临床症状缓解不明显而于第2天行经皮肝穿胆管引流术，术后临床症状于72h内亦缓解。

Fourteen cases were converted to laparotomy (including 4 cases of type I Mirizzi syndrome, 4 cases of type II which all converted to laparotomy. 2 cases with the location of cystic duct into the common bile duct much lower than normal one, 2 cases with the confluence of cystic duct and cho ledoch locating in the posterior wall of choledoch. 1 case with a public wall shared for about 2 cm between the cystic duct and the choledoch).

结果 全组90例，术中中转开腹14例（包括Mirizzi综合征Ⅰ型4例Ⅱ型4例全部中转；胆囊管汇入胆总管过低2例；胆囊管开口于胆总管后壁2例；胆囊管与胆总管共同一侧壁，并并行约2 cm 1例；右肝管汇入胆囊管1例，开腹术中证实）。

Objective:To investigate the surgical strategy of common bile duct exploration for choledocholithiasis.

目的：探讨胆总管结石的术式和决策。

Objective:To investigate the surgical strategy of common bile duct exploration for choledocholithiasis.

杂谈 目的：探讨胆总管结石的术式和决策。

Results:Seventysix cases were successfully performed LC,three cases were Mirizzi syndrome type Ⅰ,and one case was converted to open surgery because of gallbladdercolon fistula and gallbladderright hepatic duct fistula,and one was converted to choledocholithotomy with Ttube drainage because of Mirizzi syndrome combined with injury of common bile duct.

结果：76例顺利完成LC，其中3例为Mirizzi综合征Ⅰ型；1例因合并胆囊结肠漏、胆囊右肝管漏中转开腹，另1例为Mirizzi综合征Ⅱ型，术中胆总管损伤中转手术行胆总管对端吻合&T&管支撑引流术。

The indications for the initial CT were the staging of small-bowel tumor and colon cancer, nonspecific abdominal discomfort, lier abscess, confirmation of the residual stone after open cholecystectomy and choledocholithotomy, and common bile duct stone and lier abscess.

所有病人均发现胰腺有异常，初始CT检查有小肠肿瘤和结肠癌、非特异性腹部不适、肝脓肿、胆囊切除术和胆总管石切除术后的残余结石、总胆管结石伴肝脓肿。

Results: Among 80 cases of ACST, 76 cases were successfully implemented LC, gallbladder puncture and decompression choledocholithotomy T-tube drainage were performed in 11 cases, choledocholithotomy T-tube drainage in 15 cases, common bile duct gall bladder fistula Toishi T-tube drainage in 14 cases, gallbladder removal choledocholithotomy T-tube drainage in 36 cases, operative time 15-120 min, bleeding 10-80 ml; 4 cases transitted laparotomy, 1 case of gallbladder and surrounding tissue adhesion serious, ampulla signs disappear, and the hepatoduodenal ligament ill-defined, 2 cases of gallbladder contraction deep within the liver, gallbladder triangle scar adhesions, and 1 case of duct stone impaction and severe adhesions; postoperative hospital stay was 8-11 d, all were well recovered; pathological diagnosis, acute cholecystitis in 41 cases （51.2％）, acute suppurative cholecystitis in 24 cases （30.0％）, acute gangrenous cholecystitis in 15 cases （18.8％）.

结果：重症急性胆囊炎80例，76例成功实施LC，其中，胆囊穿刺减压胆总管切开取石T管引流11例，胆总管切开取石T管引流15例，胆囊造瘘胆总管切开取石T管引流14例，胆囊切除胆总管切开取石T管引流36例，手术时间15～120 min，术中出血10～85 ml；4例中转开腹，其中，1例胆囊与周围组织粘连严重，壶腹部标志消失，与肝十二指肠韧带界限不清，2例胆囊萎缩深陷肝脏内，胆囊三角区瘢痕粘连，1例胆囊管结石嵌顿且严重粘连，术后住院时间8～11 d，术后恢复均良好，治愈出院；80例术后病理诊断，急性单纯性胆囊炎41例（51.2％），急性化脓性胆囊炎24例（30.0％），急性坏疽性胆囊炎15例（18.8％）。

Objective: To study the effect of hepatic artery ligation on the liver by the model of choledochostomy with T tube drainage and HAL in dogs .Therefore,to provide experimental evidence for clinical surgery through observing the changes in the bile flow rate, liver function and hepatocyte ultrastructure after HAL.

目的：通过犬胆总管外引流测量胆汁分泌量模型的建立测量犬胆汁分泌量并动态观察肝动脉结扎(hepatic artery ligation，HAL)前后胆汁分泌量、肝功能和肝脏超微结构的变化，从而探讨肝动脉结扎对肝脏的影响。

Methods In vitro,the sets of stones containing71%～86%pigment bile were obtained from30paˉtients following cholecystectomy and choledochostomy.

取外科手术中30例不同患者肝胆管结石，化学分析测定胆色素含量为71%～86%，红外光谱分析测定是胆色素为主。

Objective To investigate the feasibility, safety and effctiveness on laparoscopic choledochotomy with endobiliary drainage and primary closure of the common bile duct.

目的 探讨腹腔镜胆总管切开探查胆道内置引流管、胆总管一期缝合的临床应用可行性、安全性和有效性。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。