胆管

CT that looks back the 2 l sexual analysis regular liver door de—partment pipe cell cancer of gall blad......

回顾性分析21例肝门部胆管细胞癌的CT平扫和增强扫描的表现。

Objective To evaluate the diagnostic value of magnetic resonance cholangiopancreatography in the diagnosis of caput pancreatic cancer.

目的 评价磁共振胰胆管造影(magnetic resonance cholangiopancreatography， MRCP)对胰头癌的诊断价值。

Cases of caput pancreatis cancer were diagnosed by ultrasound examination, the rate of accuracy was 60%.

其中最常见的胆总管结石42例，胆总管癌9例，胰头癌5例，肝门胆管癌、胆囊癌、壶腹癌各1例。

The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果：1、钳夹分离切肝法不需特殊仪器设备，只要具备常规的腹腔镜器械即可实施，成本低，肝断面较易渗血；2、微波固化切肝法肝实质出血很少，视野清晰，成本低，操作简单，是一种安全、简便、有效的方法；3、超声刀是目前较为理想的切肝器械，术中出血少，但是，切割速度慢，手术时间长，而且，切割强度有限，适用于无肝硬化的肝切除；4、Ligsure具有挤压粉碎及高频电凝止血两大功能，可使包括7~以下管道的肝组织碳化、形成焦痴，具有一定的优势，但是，也存在分离钳电凝止血的缺点；5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感，便于术中显露、分离、控制出血等，可随意协助右手及助手的主要操作，缩短了手术时间，大大提高了腹腔镜肝切除的安全性，李朝龙等的改良方法，同样达到了手辅助目的，又节省了费用；6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术，操作简单、可靠，适用于肝左外叶切除及右肝第V段切除；7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构，多用于肝左静脉、门静脉分支、管径较大胆管的切割，缺点是不能用于较厚肝组织的切割，而且价格昂贵；8、临床巧例腹腔镜肝切除均获得成功，手术时间最短1.5h，最长sh，平均125 min，多数在100 min左右，手术出血量最少50 ml，最多500 ml，平均1 78 ml，除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水，1例术后发生胆漏外，其余无并发症，发生胆漏的1例患者术后住院40d，多数在术后一周左右出院，术后住院时间5一40d，平均gd。

Diagnosis and treatment of bile duct stones of caudate lobe.

肝尾状叶胆管结石的诊断和治疗。

R: Fever, jaundice and abdominal pain consist of Charcot triad which is feature of cholangitis.

住院医师：发热，黄疸和腹痛是Charcot 三联症，这是胆管炎的特征。

Results The main clinical manifestations of HLAIHCC were Charcot syndrome.

结果 HLAIHCC主要临床表现是夏科氏三联症；胆管癌发生处都有结石。

Methods: The sensibility of 13 chemotherapeutics were measured in 13 cases of carcinoma of gallbladder and 32 cases of cholangiocarcinoma by MTT assay.

采用四氮唑比色法检测13例胆囊癌和32例胆管癌对13肿化疗药物的敏感性。

AIM: To observe the clinical efficacy and mechanism of Yinhu cholagogue mixture combined with endoscopic naso-biliary drainage in the treatment of patients with obstructive jaundice.

目的：观察茵虎利胆合剂配合鼻胆管引流术治疗阻塞性黄疸的临床效果，并探讨其作用机制。

Objective:To investigate the diagnosis and treatment of refluxing cholangitis.

目的探讨反流性胆管炎的诊断和治疗方法。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。