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The majority of patients had bezoars located in the lower ileum.

多数的患者肠粪石位於下段回肠。

This may be because that the metal ions in calf intestine AKP is more close to the surface of enzyme molecule than in Ulva pertusa kjellm , EDTA can exerted inhibitory effect on the AKP from calf intestine more easily and quickly.

这可能是由于小牛肠碱性磷酸酶活性位点的金属离子相对于孔石菇碱性磷酸酶的活性伍点来说突出在酶大分子的表面,EDTA容易与之发生络合作用,从而快速对小牛肠AKP产生抑制作用。

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: Sixty-three cases of left hepatolith underwent operations of left-half hepatectomy, Roux-en-Y cholangio-jejunostomy and removal of stones by cholangiotomy under the condition of hemihepatic blood flow occlusion at normal atmospheric temperature.

回顾性总结63例左肝内胆管结石患者在常温下阻断左半肝血流,行左肝叶切除、肝内含石胆管直视下切开取石和肝胆管Roux-en-Y胆肠吻合等手术后,患者术后并发症、肝内胆管结石的复发率、再手术率以及术后患者的肝功能恢复情况等。

Methods: Sixtythree cases of left hepatolith underwent operations of lefthalf hepatectomy, RouxenY cholangiojejunostomy and removal of stones by cholangiotomy under the condition of hemihepatic blood flow occlusion at normal atmospheric temperature.

回顾性总结63例左肝内胆管结石患者在常温下阻断左半肝血流,行左肝叶切除、肝内含石胆管直视下切开取石和肝胆管Roux-en-Y胆肠吻合等手术后,患者术后并发症、肝内胆管结石的复发率、再手术率以及术后患者的肝功能恢复情况等。

Methods: The twenty one cases by retroperitoneal laparoscopic ureterolithotomy and 20 cases by open ureterolithotomy were reviewed retrospectively.

回顾性分析21例后腹腔镜输尿管切开取石术和20例开放性输尿管切开取石术患者的临床资料,比较两组手术时间、手术并发症、术后肠功能恢复时间、术后使用抗生素时间、术后拔除引流管时间、术后拔除导尿管时间、术后住院时间、总住院费。

Methods The clinical data of 96 cases received laparosxopic ureterolithotomy and 62 cases received open ureterolithotomy were retrospectively analyzed. Operating time, amount of bleeding during operation, recovery of intestinal function after operation, the operation cost, aching degree after operation, total cost of hospitalization and complications were compared between group A and group B.

回顾分析腹腔镜输尿管上段切开取石术96例及开放性输尿管上段切开取石术62例的临床资料,比较两组的手术时间、术中出血量、术后肠功能恢复情况、术后下床活动时间、术后住院天数、住院总费用、术后疼痛程度、术后并发症等指标。

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