胆管

Methods Clinical data of 3 cases of bile duct injury during laparoscopic cholecystectomy were analyzed retrospectively.

回顾总结3例LC术中胆管损伤的临床资料，分析3例胆管损伤的原因及对策。

ABCB11 gene encodes bile salt export pump. It is almost exclusively expressed in the canalicular microvilli of liver. It is the principal conveyor of bile acids from hepatocyte cytoplasm into bile canaliculus.

人类ABCB11基因编码产生胆盐输出泵，BSEP是位于肝细胞毛细胆管面上的重要转运体，将胆盐从肝细胞内转运到毛细胆管中，是形成胆汁流的最主要动力。

Objective To study cholangitis of intrahepatic stone.

目的 研究肝内胆管结石并存的胆管炎。

Objective To explore the clinical value of endoscopy combined with local infusion of dissolving agents for treatment of cholelithiasis.

目的 探讨内镜联合药物灌注溶石治疗复杂胆管结石的临床应用价值，提高对巨大胆管结石的治愈率。

BILE DUCTULE - Microscopic bile duct that collects bile from lier cells and deliers it to the large bile duct outside the lier.

胆小管——微小胆管，从肝细胞收集胆汁，并传送到肝外的大胆管。

At the time of infectious enteropathy intestinal bacteria invades biliary system from portal vein. The chronic inflammation and bile duct wall fibrosis hyperplasia are then formed.

在感染性肠病时，肠内细菌从门静脉侵入胆道系统，形成慢性炎症，胆管壁纤维组织增生，使胆管壁缩窄。

With major biliary tree or common bile duct injury , the clinical signs of icterus are often delayed 4 to 6 weeks.

与主要胆管树或共同胆管损伤，黄疸的临床体征，往往延误4至6周。

Ultrasound,ERCP,MRCP,liver enzyme profile and reoperation confirmed the folowing: Extra-hepatic bile duct or the right hepatic duct was ligated in 9 cases,common bile duct residual stone in 6,partial gallbladder or gallbladder duct stone in 4,biliary leak in 4, cholangitic hepatitis in 4,hepatitis B or posthepatitis cirrhosis in 5,icterus after blood transfusion in 2,hemobilia in 2, ligation of right branch of hepatic artery in 2, and icterus of unknown causes in 5 cases.

经B超，ERCP，MRCP和肝酶谱及再手术等证实：肝外胆管或右肝管结扎9例，胆总管遗漏结石6例，残留胆囊或胆囊管结石4例，胆瘘4例，毛细胆管肝炎4例，乙肝或肝炎后肝硬化5例，输血后黄疸2例，胆道出血2例，肝右动脉结扎2例，不明原因黄疸5例。再手术18例，死亡1例。结论：详细的病史资料、充分的术前检查、细致的手术操作是预防胆囊切除术后黄疸的必要前提。

Results 20 cases of CT examination had made proper diagnoses,the CT imaging finding about the most of peripheral cholangiocarcinoma included:There was the atactic low density tumour in liver,its borderline was unclear,enhanced scan appearances were irregular peripheral enhancement,centripetal enhancement,and delaying enhancement;There was concretion and dilatation of bile buct in or around the focus;The local envelope of liver was lacunose and the local liver was atrophied,There was abroad putrescence and liquescence in the focus.

结果 20例CT做出了正确的诊断，大部分周围型胆管细胞癌的CT表现为肝内不规则低密度肿块边界欠清，增强扫描表现病灶边缘呈不规则环状强化，有向心性强化的趋势，出现延迟强化；病灶内或周围可见结石，病灶内及周围肝内胆管扩张；局部肝包膜回缩、肝叶萎缩，病灶内大片坏死、液化。

Results Ultrasonic direct signs of cholangiocarcinoma were divided into mammilla type,clumping type, truncation type and stenosis type; Indirect signs showed ...

结果肝外胆管癌超声直接征象分为乳头型、团块型、截断型和狭窄型；间接征象为肝内及肝外胆管扩张、肝内及肝门部淋巴结转移和腹水。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。