胆管

Objective: To evaluate the technique and value of the combination of laparoscopic cholecystestomy and endoscopic sphincterotomy in the treatment of cholecystolithiasis and common bile duct stones.

目的：评价腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）和内镜下Oddi括约肌切开取石术（endoscopic sphincterotomy，EST）联合胆囊和胆管结石病的方法和价值。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%（15/28），手术切除率为71.4%（20/28），单纯胆囊切除术6例（占21.4%），胆囊切除+总胆管探查4例（占14.3%），胆囊切除+区域淋巴结清扫2例（占7.1%），胆囊+肝楔状切除+区域淋巴结清扫6例（占21.4%），胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例（占3.6%），胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例（占3.6%），未切除率为28.6%，胃-空肠吻合术2例（占7.1%），胆囊造瘘1例（占3.6%），仅做剖腹探查术5例（占17.9%）。

Objective To discuss the value of magnetic resonance cholangiopancreatography in the diagnosis of choledochal cysts.

目的 探讨利用磁共振胰胆管成像的方法对先天性胆总管囊肿进行诊断。

Results The incidence of congenital choledochal cyst was higher in group A than in group N.

结果 先天性胆管囊肿在APBDU中的发生率明显增高(26.6％)。

Objective To investigate the possible mechanism of pancreaticobiliary maljunction on development of congenital choledochal cyst.

目的 探讨胰胆管合流异常致先天性胆总管囊肿的可能机制。

And it is an ideal method for the diagnosis of choledochal cysts.

MRCP检查胰胆管影像学诊断技术具有无创伤性、无需造影剂、快速简便的优点，是诊断先天性胆总管囊肿的一种理想方法。

Choledochal cysts are malformations of the biliary ductal system, which rarely occur in infancy.

胆道囊肿系胆管系统的畸形扩张，好发於女性和东方人，在婴儿期很少见。

ObjectiveTo explore the clinical value of micro-traumatic treatment of choledocholithiasis.

目的：探讨肝外胆管结石微创治疗意义。

Objective:To explore the feasibility and safety of LC combined intraoperative ERCP for the one stage treatment of cholelithiasis with choledocholithiasis.

目的：探讨腹腔镜胆囊切除术联合术中内镜下逆行胆胰管造影及乳头切开取石一期治疗胆囊结石合并肝外胆管结石的可行性和安全性。

All the 47 patients with choledocholithiasis were cured successfully, among them 31 patients were performed with ERCP and 16 were re-operated on with cholangiotomy.

除3例右半结肠癌行根治性切除外，另6例已不能行根治性手术。47例胆管残留结石均治愈，其中31例经ERCP取石，16例行开腹胆道探查。

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％。