结石的

Cholecystectomy and cholecystolithiasis is likely an important risk factor of colonic cancer's morbidity.

胆囊切除、胆囊结石很可能是增加结肠癌发病率的重要危险因素。

Objective:To explore the etiology and treatment of cholecystolithiasis combined with cholecystocolonic fistula or cholecystoduodenal fistula.

目的：探讨胆囊结石合并胆囊结肠瘘或胆囊十二指肠瘘的原因及腹腔镜手术治疗。

Methods:The 10-year B-ultrasound followup observations and the method of treatment of 200 cases of asymptomatic cholecystolithiasis patients were summarized and evaluated.

对200例无症状胆囊结石患者进行10年B超检查的随访观察及治疗措施进行总结评价。

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 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。

It is possible to remove choledocholithiasis with duodenoscopy without X-ray monitoring. It is worth of further research.

非X线监视下十二指肠镜取胆总管结石是可行的，值得进一步研究。

Methods:a review of 46 cases with choledocholithiasis treated with choledochofiberscope were conducted.

目的：探讨纤维胆道镜在肝胆管结石术中、术后的应用价值。

Methods:The clinical data of 91 cases with choledocholithiasis underwent laparoscopy,choledochoscopy or duodenoscopy were analyzed retrospectively.

回顾分析2004年7月至2007年6月我院应用腹腔镜、纤维胆道镜、十二指肠镜微创治疗胆总管结石91例患者的临床资料。

The outward draw string combine with laparoscopic and choledochoscopic choledocholithotomy is a minimal invasion,safe,dependable and effective methods with convenient operation and good curative effect.

外置牵引线腹腔镜联合纤维胆道镜治疗胆总管结石是一种微创、安全、可靠、有效的新技术，操作方便，疗效明显。

The outward drawstring combine with laparoscopic and choledochoscopic choledocholithotomy is a minimal invasion,safe,dependable and effective methods with convenient operation and good curative effect.

外置牵引线腹腔镜联合纤维胆道镜治疗胆总管结石是一种微创、安全、可靠、有效的新技术，操作方便，疗效明显。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。