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It suggested that congenital hepatic fibrosis should be suspected in patients with symptoms or signs of portal hypertension; but could also masquerade in as recurrent fever without hematemesis.

因此在有肝门脉高血压症状或徵象的孩童应怀疑是否有先天性肝纤维化症,而且先天性肝纤维化症也可以表现出反覆性的发烧而没有呕血的症状。

Objective: To study the structures of the secundum porta hepatis and its clinical significance for laparoscopic surgery of liver.

第二肝门位于胸腹结合部,有重要的出肝血管结构,而可操作空间却十分有限,尤其对于腹腔镜肝脏外科而言,手术难度更大。

Results The Kappa coefficients of 'liver parenchyma≥gradeⅡ' with 'right midclavicular subcostal' and with 'portal vein diameter' were 0.4131 and 0.4655 respectively, higher than normal level. The degree of their consistency was fair, and others showed poor or almost no consistency.

结果以"肝实质Ⅱ级以上"与"肝锁骨中线肋下"和"肝门脉内径"的一致性系数Kappa值较高,分别为0.4131和0.4655,仅为中等程度的一致性,其余为弱一致性或无明显一致性。

Among the combinations made up of different indices, the Cronbach's alpha coefficient of the combination made up of 'liver parenchyma≥gradeⅡ','right midclavicular subcostal' and 'portal vein diameter' was 0.6566 which was the highest, showing the strongest internal consistency.

在不同B超指标的组合中,以"肝实质Ⅱ级以上"、"肝锁骨中线肋下"和"肝门脉内径"3个指标组合的克朗巴哈α系数最大,为0.6566,具有较强的内部一致性。

Being an effective method to treat the malignant biliary duct obstruction,the tertiary hepatiocjejunostomy takes PTBD,ERBD and EMBE at vantage.

肝内三级肝管空肠吻合术对于不能切除的恶性肝门部胆管梗阻是确实可行的治疗方法,其减黄效果优于PTBD、ERBD和EMBE。

Demonstrates hypervascularity within and around the

在肝门部也见到扩张的肝动脉和门静脉。

Results: The main reasons of re-operation in congenital choledochus cyst were calculogenesis, refluxing cholangeitis, stenostomia, endo-, ectobile duct residual cyst, stenosis of bile duct in hepatic hilum, residual cyst canceration, which accounts for 24 cases (63%), 21 cases (55%), 12 cases (31.6%), 11 cases (29%), 8 cases (21%), 2 cases (5%), respectively.

结果:先天性胆总管囊肿再次手术的主要原因是结石形成24例(63%);其次为反流性胆管炎21例(55%);再次为吻合口狭窄12例(31.6%);肝内外胆管残余囊肿11例(29%);肝门部胆管狭窄8例(21%);残余囊肿癌变2例(5%)。

Objective: To evaluate the protection of reduced glutathione and clinical therapeutic efficacy in patients with partial hepatectomy accompany with blocking fossa transversalis hepatic blood flow.

目的:总结评价还原性谷胱甘肽制剂阿拓莫兰对肝门阻断部分肝切除手术患者术后肝功能保护的作用及临床治疗效果。

Abstract] Objective: To evaluate the protection of reduced glutathione and clinical therapeutic efficacy in patients with partial hepatectomy accompany with blocking fossa transversalis hepatic blood flow.

目的:总结评价还原性谷胱甘肽制剂阿拓莫兰对肝门阻断部分肝切除手术患者术后肝功能保护的作用及临床治疗效果。

For those involving hepatic hila, distinguishing between the lesion and intrahepatic vessels, performing resection closely around the lesion and dealing with the liver cross-section properly may be helpful to reduce the surgical complications.

对于累及肝门者,只要辨清病变与肝内管道的关系、紧贴病变进行切除,并注意肝创面处理,可以减少手术并发症的发生。

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