查询词典 bile

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。

Methods:The clinical data of twenty nine patients with common bile duct calculi underwent laparoscopic choledochotomy and primary ductal submucosa closure without routine T tube drainage was retrospectively analyzed.

应用腹腔镜手术设备及纤维胆道镜为29例胆总管结石患者行腹腔镜胆总管切开取石术，不置T管引流，一期缝合胆总管壁。

Main methods included choledochotomy, choledochoscopic exploration,ureteral catheter through cystic duct remnant for drainage of bile duct,Ttube drainage,and the primary closure of duct incision.

1993年10月至2005年3月运用腹腔镜胆总管切开取石术(包括胆总管切开，胆管镜取石，经胆囊管残端输尿管导管胆管引流、T管引流、胆总管切口即时缝合等)有选择地对87例胆总管内径≤08cm的胆总管结石病人进行治疗。

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。