胆囊

Methods: Diabetes gastroparesis model rats were built by means of intraperitoneal injection 5% alloxanate aqu and Prepared Radix Rehmanniae once. Observed the effect of JG on rats' stomach power, serum glucose, serum motilin, cholecystokinin.

采用一次性腹腔注射5%四氧嘧啶水溶液加熟地复制糖尿病胃轻瘫模型，观察加味柴平颗粒剂对大鼠胃动力、血糖、血清胃动素、胆囊收缩素的影响。

Results 31 cases of patients with biliary calculi in 46 cases (of which 30 cases with intraoperative findings basically the same, one cases of distal common bile duct stones misdiagnosed as ampulla negative tumors), The qualitative and positioning accuracy rates were 96.8% and 100% respectively;In 15 cases of patients with biliary andpancreatic tumors (9 cases of cholangiocarcinoma, 1 cases of gallbladder carcinoma, pancreatic cancer 2 cases, 1 ampullary cancer and 1 cases of congenital cysts), 14 cases were correctly diagnosed, The qualitative and positioning accuracy were 93.3% and 100% respectively.

结果 46例患者中31例胆道结石（其中30例与术中所见基本一致，1例胆总管下端阴性结石误诊为壶腹部肿瘤），定性、定位准确率分别为96.8％、100％；15例胆胰肿瘤患者中（9例胆管癌、1例胆囊癌、2例胰头癌、1例壶腹部癌、1例先天性但总管囊肿），14例得到正确诊断，定性、定位正确率分别为93.3％、100％。

Methods We randomly assigned 410 patients with locally advanced or metastatic cholangiocarcinoma, gallbladder cancer, or ampullary cancer to receive either cisplatin (25 mg per square meter of body-surface area) followed by gemcitabine (1000 mg per square meter on days 1 and 8, every 3 weeks for eight cycles) or gemcitabine alone (1000 mg per square meter on days 1, 8, and 15, every 4 weeks for six cycles) for up to 24 weeks.

我们将有局部晚期或转移性胆管癌、胆囊癌或壶腹癌的410例病人随机分为两组：一组先接受顺铂（25 mg/m2体表面积）治疗后再接受吉西他滨（1000 mg/m2，第1天和第8天，每3周为1个周期，共8个周期）治疗，另一组接受单纯吉西他滨（1000 mg/m2，第1、8和第15天，每4周为1个周期，共6个周期）治疗，最多治疗24周。

High mutation rate of K-ras codon 12 wasobserved in gallbladder carcinoma(60%),bile ductcarcinoma(81.8),ampullary carcinoma(90%) and duodenalcarcinoma(70%).

在胆囊癌、胆管癌、壶腹癌及十二指肠乳头癌中均检测到了高比率的K-ras基因12密码子的点突变。

Objective:To explore the diagnosis and treatment of anatomic variation in laparoscopic cholecystectomy.

目的：探讨腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）解剖变异的诊断及处理。

Objective:To study the clinical prognosis and opportune time for surgical treatment of patients with asymptomatic cholecystolithiasis.

目的： 探讨无症状胆囊结石患者的临床转归和外科治疗时机。

Objective To investigate the value of ultrasonic diagnosis for asymptomatic polypoid lesions of gallbladder.

目的 探讨超声对无症状胆囊息肉样病变的超声诊断价值。

The effects of single and multiple seizures on cholecystokinin mRNA levels in amygdala of audiogenic seizure-prone rats (P77PMC) were examined by in situ hybridization.

铃声刺激诱发惊厥，原位杂交法检测遗传性听源性癫痫易感大鼠(P77PMC)一次与多次惊厥发作对杏仁核内胆囊收缩素 mRNA含量的影响。

Results:Spiral CT findings included dilated paraumbilical vein (n=12), paragallbladder varices (n=8), establishment of splenorenal collaterals (n=9), retroperitoneal varices (n=10), esophageal varices (n=24), paraesophageal varices (n=10), dilated azygos (n=15), paragastric varices (n=27) and dilated left renal vein (n=11). In 19 patients with portal hypertension, MIP angiography demonstrated dilatation of portal veins 1-2 grade branches, and thinness, distortion, stiffness of smaller branches.

结果：螺旋CT显示脐周静脉曲张12例，胆囊周围静脉曲张8例，脾肾静脉侧支开放9例，腹膜后静脉曲张10例，食管静脉曲张24例，食管周围静脉曲张10例，奇静脉扩大15例，胃周静脉曲张27例，左肾静脉扩大11例；MIP显示门脉1-2级分支增粗，2级以下分支细小、扭曲、僵直19例。

Portal braches of 4-5 orders were found in all 19 cases of Child Grade I, with esophageal varices and paragastric varices and no fistula of hepatic artety-portal vein or portal vein embolus; Portal braches of 3-4 orders were displayed in all 16 cases of Child Grade II, besides esophageal varices and paragastric varices, cirsomphalos, retroperitoneal varices, paraesophageal varices, dilated azygos vein were also noted, some patients had fistula and portal vein embolus; in Child Grade III, portal branches of 3~4 orders were displayed with more collateral circulations, dilated left renal vein and paragallbladder varices were appeared, with fistula and portal vein embolus or not.

Child I级19例，肝内门静脉显影4~5级，侧枝循环以食管及胃周静脉曲张为主，没有肝动脉－门静脉瘘或门静脉血栓形成；Child Ⅱ级16例，肝内门静脉显影3~4级，侧枝循环除食管及胃周静脉外，脐周静脉、腹膜后静脉、食管周围静脉、奇静脉也有所开放，部分有肝动脉－门静脉瘘或门静脉血栓形成；Child Ⅲ级6例，肝内门静脉显影3~4级，侧枝循环开放较Ⅱ级增多，可出现左肾静脉扩张或胆囊周围静脉曲张，伴或不伴有肝动脉－门静脉瘘或门静脉血栓形成。16排螺旋CT门静脉造影对上述病例分级为一级17例，二级18例，三级6例，与Child分级结果高度相关。

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。