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Percutaneous cholecystostomy for the treatment of acute severe cholecystitis

目的评价利用经皮胆囊造口术治疗急性重症胆囊炎的临床疗效。

Percutaneous cholecystostomy is a safe and effective treatment adaptable for critically ill patients with acute cholecystitis.

经皮经肝胆囊穿刺置管引流术是治疗急性重症胆囊炎安全有效的方法。

Mehtods 97 critically ill patients with acute cholecystitis underwent emergency percutaneous cholecystostomy under guidance of US and DSA.

97例急性重症胆囊炎患者接受超声及DSA结合导引下的经皮胆囊造口术,并于术中置管引流。

For children with more organ inflammatory edema and adherence and in a bad overall condition, the first-time operation of cholecystostomy is more reasonable.

初次手术行胆囊造瘘术对于胆总管囊肿自发穿孔后腹腔炎性反应水肿明显、黏连重、状态差的患儿是一种更合理的术式选择。

Among 89 cases,68 cases underwent cholecystectomy(6 cases bile duct drainage),and 14 cases subtotal cholecystectomy,cholecystostomy in 7 cases;death occurred in one case.

老年人对急诊胆囊手术一般都能耐受,积极手术结合围手术期严密观察及处理可以大大降低患者死亡率。

By the virtual surgery of cholecystotomy for calculus removed, it analyzed the application and the performance of the simulation system.

通过对胆囊取石手术进行仿真模拟,分析该系统的应用情况和性能指标。

METHODS: A total of 52 cases with choledocholithiasis, hepatolithiasis, carcinoma of the pancreatic head, carcinoma of the choledoch, carcinoma of the gallbladder, hepatoblastoma and choledochocyst were examined by MRCP combined with MRI and the results of MRCP and MRI were compared with those of operation.

对52例胆道梗阻患者,包括胆总管结石、肝内胆管结石、胰头癌、胆管癌、胆囊癌、肝母细胞瘤、胆总管囊肿,术前行MRCP联合MRI检查。

Choledocholithiasis and alcohol might be the main factor of acute pancreatitis with recurrence,cholelithiasis and diet also might be the inducement.

胆总管结石、饮酒等是胰腺炎反复发作的最主要因素;胆囊结石、饮食等因素亦是急性胰腺炎的诱发病因。

Results Five studies(n=325)in which the diagnostic ability of EUS and ERCP had been prospectively compared in patients with a suspicion of choledocholithiasis were collected.

螺旋CT作为新的非侵入性的方法也被应用于胰胆管系统疾病的诊断,但其结果可靠性较差[6,7];术中胆道造影和ERCP一样也被认为是诊断胆总管结石的金标准,但是在行腹腔镜下胆囊切除术时行该操作十分困难,无法成为常规检查。

Both patients underwent cholecystectomy, choledocholithotomy and left lateral segmentectomy and the post-operative recovery was uneventful in both cases.

两位案例在接受胆囊切除、总胆管截石及左外侧肝脏接除手术后,术后恢复都相当顺利。

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