查询词典 gallbladder

The method:enters the abdomen in the right costal arch angle declivity margin, margin long 3-4 cm, pulls pulls the gallbladder advance gallbladder reduced pressure, takes the stone, is going against the flow excises the gallbladder.

于右肋弓角下斜切口入腹，切口长3—4 cm，牵拉胆囊先行胆囊减压、取石，再逆行切除胆囊。

~in august, 1997 the good gallbladder majority of excisions 45 examples clinical material carried on the analysis to june, 1986.result:in 45 examples because the gallbladder itself pathological change good gallbladder majority of excises 41 examples, after the technique the non-gallbladder fistula, the hemorrhage, illness complication and so on icterus, abdominal cavity abscess.

48例腹腔镜胆囊切除术治疗胆囊良性疾。。。目的：探讨胆囊大部分切除在胆道外科中的应用价值。方法：对1986年6月～1997年8月行胆囊大部分切除的45例临床资料进行分析。结果：45例中因胆囊本身病变行胆囊大部分切除41例，术后无胆瘘、出血、黄疸、腹腔脓肿等并发症。

ABSTRACT Objective To discuss the importance of the study of conformation and variation of extrahepatic bile duct before gallbladder operationMethods The images of 100 cases having normal structure of gallbladder and extrahepatic bile duct were studied;the conformations and confluence sites were analyzedResults Among the 100 cases,97 cases had clear images of extrahepatic bile duct (97%),3 cases with large amount of air bulbs in bile duct because of the laxation of the lower common bile duct still had clear images of the general conformation of extrahepatic bile duct,87 cases had clear images of gallbladder and cystic duct (87%),13 cases (13%) had partial images of gallbladder or cystic ductConclusions ERCP can clearly show out the conformation and variation of extrahepatic bile duct and cystic duct and it is of important value before gallbladder operation

目的 通过对100例胆囊及肝外胆管正常结构尚存在的患者ERCP图像资料进行归纳和分析，探讨胆囊手术术前了解肝外胆道系统形态及变异的重要性。方法选出100例胆囊及肝外胆管正常结构尚存在的患者图像，对其形态、汇合位置进行分析。结果 100例患者图像中肝外胆管显示清晰者97例(97%)，3例因胆总管下端开口松弛导致大量气泡进入胆道，但肝外胆管大体形态显示尚清晰，胆囊及胆囊管显示清晰者87例(87%)，13例(13%)仅部分显示胆囊或胆囊管。结论 ERCP可以清晰显示肝外胆管及胆囊管的形态及变异情况，对于胆囊手术术前了解肝外胆道系统形态及变异有重要价值。 ERCP；胆囊管；肝外胆管

Objective To explore the relationship between abnormal position gallbladder plica and gallbladder diseases. Methods There were 5 000 cases of gallbladder with plica during recent 11 years who were divided into 2 groups and whose data were analyzed retrospectively.

目的探讨胆囊皱襞异常与胆囊疾病的关系方法我科1995年1月至2006年10月共发现5 000例皱襞胆囊，根据其位置分胆囊皱襞位置正常组（2 500例）和胆囊皱襞位置异常组（2 500例），对其超声资料进行回顾性分析。

Methods Twelve cases of gallbladder with stones or gallbladder polypus were measured by ultrasound preoperatively,by which the gallbladder volume may be calculated using the cone formula and the ellipse formula respectively.

利用超声测量胆囊的各个径线后计算出胆囊容积是目前最常用、最直接、最简便的方法，但具体计算方法之间有一定的差别[1] 。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%（15/28），手术切除率为71.4%（20/28），单纯胆囊切除术6例（占21.4%），胆囊切除+总胆管探查4例（占14.3%），胆囊切除+区域淋巴结清扫2例（占7.1%），胆囊+肝楔状切除+区域淋巴结清扫6例（占21.4%），胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例（占3.6%），胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例（占3.6%），未切除率为28.6%，胃-空肠吻合术2例（占7.1%），胆囊造瘘1例（占3.6%），仅做剖腹探查术5例（占17.9%）。

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％）。

The position of the primary carcinoma of unsuspected gallbladder carcinoma ofen located in the collum and body of the gallbladder, the position of the primary carcinoma of preoperative diagnosed gallbladder carcinoma ofen located in the body and fundus of the gallbladder. The incidence of Nevin I stage and II stage in unsuspected gallbladder carcinoma was significantly higher than that in preoperative diagnosed gallbladder carcinomaP.

意外胆囊癌的Nevin分期，在Ⅰ期和Ⅱ期的比例均高于术前确诊的胆囊癌，差异有显著意义(P＜0.05)；在Ⅳ期的比例低于术前确诊的胆囊癌，差异有显著意义(P＜0.05)；在Ⅴ期的比例低于术前确诊的胆囊癌，差异有非常显著意义(P＜0.01)。

Gallbladder carcinoma often locates in collum and body of gallbladder, pathologic histology type of gallbladder carcinoma is often adenocarcinoma, tumor can infiltrate along nerve bundle of gallbladder wall.

1。胆囊结石、乙肝病毒感染、血吸虫感染和多产妇是胆囊癌的高危因素；γ-GT可能是胆囊癌有潜力的肿瘤标志物。

Objective To analysis the predisposing factor of polypoid lesions of gallbladder.

目的 分析胆囊息肉样病变(polypoid lesions of gallbladder，PLG)的易感因素，提高对该病的认识。

I can not make it blossom and suits me

我不能让树为我开花

When temperatures are above approximately 80 °C discolouration of the raceways or rolling elements is a frequent feature.

当温度高于 80 °C 左右时，滚道或滚动元件褪色是很常见的特征。