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肝胆

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Liver and gall have close relationship in histogenesis, anatomy and physiological function.

肝胆之间在组织发生、解剖和生理功能上存在密切关系,肝胆病变常互为因果、互相影响。

Objective To explore relationship between the Liver and Gallbladder Meridians and multifocal electroretinogram.

目的 :通过针刺肝胆经的原穴探讨肝胆经与眼多焦视网膜电图之关系。

The Roux-Y hepaticocholangiojejunostomy were performed in 22 cases,hepaticocholangioduodenostomy with jejunum interposition in 2 and side to side choledochoduodenostomy in 1 case.

有22例施行肝胆肠空肠Roux-Y吻合术,2例施行肝胆管十二指肠间置空肠吻合术,仅1例施行胆总管十二指肠侧侧吻合术。

Cases were undergone choledocholithotomy with T-tube drainage , 39 cases cholangiojejunostomy with T-tube drainage , 28 cases lobectomy of liver, 16 cases plastic repair of hepatic portle duct with cholangiojejunostomy.

其中肝胆管切开取石T管引流术47例,肝胆管切开取石+胆肠吻合术39例,肝部分切除术28例,肝门部胆管切开成形+胆肠吻合术16例。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访,随访6 月~10年,术后优良率及残石率分别:肝胆管切开取石T管引流术67.57%、54.05%,肝胆管切开取石+胆肠吻合术78.38%、32.43%,肝部分切除术96.15%、7.69%,肝门部胆管成形+胆肠吻合术85.71%、14.29%,总优良率79.82%、残石率31.58%。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访,随访6个月~10年,术后优良率及残石率分别为:肝胆管切开取石T管引流术67.57%、54.05%,肝胆管切开取石+胆肠吻合术78.38%、32.43%,肝部分切除术96.15%、7.69%,肝门部胆管成形+胆肠吻合术85.71%、14.29%,总优良率79.82%、残石率31.58%。

Results 114 cases were follow-up surveyed from 6 months to 10 years, after operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with t-tube drainage ,78.38%、32.43% in cholangiojejunostomy with t-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy.

结果 114例得到随访,随访6个月~10年,术后优良率及残石率分别为:肝胆管切开取石t管引流术67.57%、54.05%,肝胆管切开取石+胆肠吻合术78.38%、32.43%,肝部分切除术96.15%、7.69%,肝门部胆管成形+胆肠吻合术85.71%、14.29%,总优良率79.82%、残石率31.58%。

METHODS: The clinical data of patients with hepatobiliary cystadenoma (n = 3) or hepatobili- ary cystadenocarcinoma (n = 4) admitted to our hospital from February 2003 to February 2007 were analyzed.

回顾性分析2003-02/2007-02中国医科大学附属第一临床医院收治的肝胆管囊腺瘤患者3例及肝胆管囊腺癌4例的临床资料。

Objective To analyse the diagnosis,treatment and prognosis of cholangiocarcinoma accompanying hepatolithiasis.

目的探讨肝胆管结石合并胆管癌的诊断、治疗和预后。方法总结1985年~2006年我院收治的26例肝胆管结石并发胆管癌的临床资料。

Results It showed that the serum active enzymatic of 5′-NT in hepatic and gall diseases,osteal diseases levels were increase, especially the more significant increase of the serum active enzymatic of 5′-NT in level appeared in the patients with hepatic and gall diseases,osteal diseases .

目的 检测各型肝胆疾病、骨骼疾病患者血清5′-核苷酸酶(5′-NT),谷丙转氨酶和γ-谷氨酰转肽酶,碱性磷酸酶酶活性的变化,观察在肝胆疾病和骨骼疾病中的临床意义,同时与正常健康者作对照。

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