查询词典 duct gland

Some patients had suffered from obstructive jaundice, pancreatitis, bilirubinemia, alkaline phosphatase raise,γ-glutamyl transpeptidase raise and/or diameter of common bile duct exceeded 0.8 cm; and for these cases intraoperative cholangiography must be carried out. 405 cases needed T-tube insertion. The common bile duct of 105 cases was sutured without T tube. Results All cases were operated successfully.

术前确诊者，术中直接行胆总管切开胆道镜取石；术前有黄疸史、胰腺炎史和直接胆红素增高、胆系酶增高者，或胆总管在0.8 cm以上者行术中造影，明确有胆总管结石的切开胆总管胆道镜取石。405例置T管引流，105例行胆总管Ⅰ期缝合。

Endoscopic retrograde cholangiopancreatography was performed to inestigate the extent of portal ein inolement of the common bile duct if it existed, to remoe a stone located in the common bile duct when documented, and to confirm the diagnosis of Caroli's syndrome.

内窥镜逆行胰胆管造影术调查门静脉和总胆管的宽度。必要时进行总胆管取石。明确Coroli's综合症的诊断。

objective to summarize the cause of bile duct injury resulting from cholecystectomy via celioscopy, and to find out the ways to its treatment and prevention. methods the clinical data of 18 patients with bile duct injury resulting from cholecystectomy via celioscopy, who were admitted to the hospital in the recent seven years, were reviewed.

自1987年mouret应用腹腔镜首例胆囊切除术（laparoscopic cholecy stectomy，lc）以来，该技术经20年的发展已成为成熟的腹腔镜外科手术[1]，lc具有创伤小、痛苦少、术后恢复快、住院时间短、微创、美观等优点，是目前治疗胆囊良性疾病的首选方法。

Methods 27 patients with cholecystic stone concomitant with bile duct disease were extracted firstly all stones or placed nasobiliary catheter in the bile duct or given endoscopic papillary balloon dilatation by the ERCP.

结果 26/27例（96.3%）成功完成ERCP术。18例行EST术，1例用EPBD，5例置ENBD，2例仅造影诊断。15例胆总管结石全部取尽。25例病人完成LC术，2例开腹手术。2/27例（7.4%）ERCP术后急性轻型胰腺炎，无LC和EST相关并发症。

Laparoscopic choledocholithotomy Ttube drainage was performed in 491 cases,all 11 cases of bile leakage were cured conservatively.173 cases were treated by transcystic duct exploration,and were cured conservatively,173 cases were treated by transcystic common bile duct exploration,and there were no complications.

完成491例腹腔镜胆总管切开纤维胆道镜取石，&T&管引流术（laparoscopic choledocholithotomy Ttube drainage，LCTD），出现胆漏11例，经保守治疗治愈。173例经过胆囊管取出胆总管结石，无并发症发生。

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。

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 evaluate the effect and safety of suture needle puncture and discission of bile duct in laparoscopic common duct exploration.

目的 探讨在腹腔镜胆道探查术(laparoscopic common duct exploration， LCDE)中应用缝针穿刺切开胆管法的有效性和安全性。

Results:Among the 123 cases of patients with nipple discarge, 63 cases were diagnosed as mammary duct inflammation, 30 cases were diagnosed as mammary duct ectasia, 26 cases were related single or multiple papilloma, early cancer were 3 case...

结果：123例有乳头溢液的患者中，乳腺导管炎63例，乳腺导管扩张症30例，乳腺导管内乳头状瘤或瘤病26例，导管内癌3例，乳头皮脂腺囊肿并感染1例。

Among 24 cases, lesions of 3 were found to be malignant(12.5%), in which 2 were carcinoma in situ, 1 were invasive duct carcinoma; the others were benign(87.5%), in which there were 9 cystichy perplas, 6 duct ectasia, 5 galactophore cirrhosis, 1 intraductal papillom.

乳腺癌3例(占12.5%)，其中导管原位癌2例，浸润性导管癌1例；良性乳腺病变21例(占87.5%)，其中囊性小叶增生9例，乳腺导管增生及扩张6例，硬化乳腺病5例，导管内乳头状瘤1例。

Listen,point and check your answers.

听，指出并且检查你的答案。

Warming needle is one of effective treatment methods for knee arthralgia aggravated by cold,and it is simple,safety,so it should be developed in clinical acupuncture and moxibustion extensively.

但以本院科针灸门诊在2005年1月—2006年6月期间共收治膝痛患者100余例，经过临床的诊断后，其中施以温针治疗的48例，疗效显著，报道如下。1临床资料本组病例48