十二指肠

Results: All the 14 cases showed hypoechoic masses at the right of pancreas head or inferior to pancreas head. Thirteen cases were diagnosed as duodenal tumor by ultrasonography, another one was diagnosed as enlarged lymphnode. Of all the 14 cases, 13 cases were duodenal tumor demonstrated by the surgical and histological examination, one case was diagnosed as duodenitis by duodenoscopy.

结果：超声检查14例均表现为胰头附近的低回声肿块，13例超声诊断为十二指肠肿瘤，1例诊断为腹膜后肿大淋巴结。14例中，13例经手术病理证实为十二指肠肿瘤，1例经十二指肠镜诊断为十二指肠炎。

About 1781 cases recently suffering from acute upper gastrointestinal bleeding were divided according to their ages into 3 groups and analysed. In the old-aged group the causative diseases were arranged in order of incidence as follows, gastric cancer, gastritis and gastric ulcer. Gastritis, duodenitis and duodenal ulcer were in the order of incidence in the middle-aged group.

本文总结 1，781例近期内有上消化道大出血的内窥镜检查资料，并按不同年龄组进行对比，发现老年组以胃癌出血占首位，胃炎其次，胃溃疡为第三位；中年组胃炎出血占首位，依次为十二指肠溃疡、胃溃疡；青年组以胃炎占首位，依次为十二指肠溃疡、十二指肠炎。

Result:This example main clinical manifestation for the abdominal pain, the platoon is black then, epigastrium CT, the magnetic resonance and the gastroscopy prompt the duodenum tumor, the good duodenum tumor excision method, after the technique the pathology inspection shows the duodenum fusiform shape cell lump, the immunity group result shows tumor cell CD117, CD34, the union protein, the S-100 protein, the muscle moves the protein, finally diagnoses for the duodenum benignity the nature lump.

结果：该例主要临床表现为腹痛、排黑便，上腹部CT、磁共振和胃镜检查均提示十二指肠肿瘤，行十二指肠肿瘤切除术，术后病理检查示十二指肠梭形细胞瘤，免疫组化结果示肿瘤细胞CD117，CD34，结合蛋白，S-100蛋白，肌动蛋白，最后确诊为十二指肠良性间质瘤。

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。

Radical resection can improve the long-term survival of patients with primary duodena.

十二指肠低张造影和内镜检查可提高原发性十二指肠癌早期诊断率；根治性手术治疗可提高原发性十二指肠癌的长期生存率。

Primary repair and Roux-en-Y duodenojejunostomy and Modificed Cogbill's technigues for diverficalization are practical operation.

十二指肠修补术、十二指肠空肠Roux-en-Y吻合术和Cogbill改良憩室化手术再简化手术是治疗十二指肠损伤的实用方法。

Fasting and postprandial serum gastrin levels were determined by radioimm-unoassay in each 30 cases of normal gastroduodenal mucosa, chronic active gastroduodenitis, and active duodenal ulcer.

活检证实的正常胃、十二指肠粘膜，慢性活动性胃、十二指肠炎和活动性十二指肠溃疡各30例。胃窦部活检标本幽门螺杆菌尿素酶试验阳性者分别为16例，30例和30例。

Generally understanding the etiology and pathogenesis of gastroduodenal ulcer ; being familiar with the features of Clinical manifestations; mastering the surgical indications; generally understanding surgical methods and surgical complications; being familiar with clinical manifestations, diagnosis and treatment principles of cicatricial pyloric obstruction, acute hemorrhea and acute perforation of gastroduodenal ulcer.

了解胃，十二指肠的解剖生理。了解胃，十二指肠溃疡的病因与发生机制；熟悉临床表现的特点，掌握其手术适应证；了解手术方法和手术并发症；熟悉胃，十二指肠溃疡急性穿孔，急性大出血，瘢痕性幽门梗阻的临床表现，诊断和治疗原则。

Results Superanterior, inferoanterior, superposterior and inferoposterior pancreasduodenal arteries were the main blood vessels of the head of pancreas, but superanterior and inferoanterior pancreasduodenal arteries' distributions were fixed and convenient for discovery.

结果 胰头血运主要由胰十二指肠上前、上后动脉，胰十二指肠下前、下后动脉供应，且胰十二指肠上前、胰十二指肠下前动脉走行固定、易找。

Results The frequency of multislice CT to display peri-pancreatic big arteries including celiac trunk, common hepatic artery splenic artery, gastroduodenal artery and superior mesenteric artery was 100% while that of small arteries including dorsal pancreatic artery, transverse pancreatic artery, pancreaticomegana artery, caudal pancreatic artery, superior pancreaticoduodenal artery and inferior pancreaticoduodenal artery was

结果 多层螺旋CT对正常胰腺周围大动脉（腹腔干，肝总动脉，脾动脉，胃十二指肠动脉，肠系膜上动脉）的显示率为100%，对小动脉（胰背动脉，胰横动脉，胰大动脉，胰尾动脉，胰十二指肠上动脉，胰十二指肠下动脉）的显示率为

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。