查询词典 bile

Objective To explore clinic application of endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy for the treatment of the cholecystic stone combined bile duct disease.

目的 探讨逆行胰胆管造影术联合腹腔镜胆囊切除术对胆囊结石伴胆管病变治疗的临床应用方法 27例胆囊结石伴胆道病变患者，先用ERCP、乳头切开术取石；或ERCP和鼻胆管引流及柱状气囊扩张术治疗，术后3～11天，患者无发热、腹痛，血淀粉酶正常，再按常规四孔法施行LC。

The case number of duodenopancreatectomy,cholecystojejunostomy, cholecystoduodenostomy, gastrojejunostomy, cholecystostomy, choledochoduodenostomy, choledochjejunalostomy, exploration of the common bile duct, and T tube drain were 43, 20, 3, 19, 4, 4, 21, 18, 7 respectively.

行胰十二指肠切除术43例，胆囊空肠吻合术20例，胆囊十二指肠吻合术3例，胃空肠吻合术19例，胆囊造瘘术4例，胆总管十二指肠吻合术4例，胆总管空肠吻合术21例，胆总管探查、T管引流18例，剖腹探查术7例。

Objective: To evaluate the technique and value of the combination of laparoscopic cholecystestomy and endoscopic sphincterotomy in the treatment of cholecystolithiasis and common bile duct stones.

目的：评价腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）和内镜下Oddi括约肌切开取石术（endoscopic sphincterotomy，EST）联合胆囊和胆管结石病的方法和价值。

Results Among 89 cases,68 cases underwent cholecystectomy(6 cases bile duct drainage),and 14 cases subtotal cholecystectomy,cholecystostomy in 7 cases;death occurred in one case.

结果 89例中行胆囊切除术68例(胆总管T管引流术6例)，胆囊大部切除术14例，胆囊造瘘术7例。治愈88例，死亡1例。

We performed cholecystectomy in 10 cases, cholecystectomy and choledochotomy for common bile duct exploration and stone removal and T-tube drainage in 2, partial cholecystectomy in 3, cholecystostomy in 1. Pathological examination showed that it was AGC in all the patients.

该组行胆囊切除术10例，胆囊切除+胆总管切开取石+T管引流术2例，胆囊大部切除术3例，胆囊造瘘术1例，术后病理报告均为急性坏疽性胆囊炎。

Percutaneous transhepagtic drainage of gallbladder was a safe and simple technique, it drained infected bile equally as surgical cholecystostomy; and it was of benefit to aged or patient of high surgical risk.

经皮穿肝胆囊引流术是一种不需要手术，即可提供相当於胆囊造瘻术的技术，在局部麻醉下很快地把感染的胆汗引流体外，令临床症状得以快速改善；由於此技术的安全简便及侵袭性小，对於需要紧急进行胆囊造瘻术的年老病人或高手术危机者，有著极大的裨益。

Among 89 cases,68 cases underwent cholecystectomy(6 cases bile duct drainage),and 14 cases subtotal cholecystectomy,cholecystostomy in 7 cases;death occurred in one case.

老年人对急诊胆囊手术一般都能耐受，积极手术结合围手术期严密观察及处理可以大大降低患者死亡率。

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）。

Materials and Methods: Clinical data and CT manifestations of 13 patients with choledochal cyst were analysed retrospectively. Results:10 cases are cysts of common bile duct.

材料与方法：对13例患者的临床资料与CT资料进行了回顾性分析。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。