胆管

Methods:the clinic data of 172 cases performed by lc were analyzed retropectovely to disscuss the operation skill and the owoiding of complications.results:there are 3 cases with bile leakage and 5 case with hemorrhage during operation.3 cases were converted to open operations midway with a rate of 1.74%.there are no such severe complications as biliary ducts injury,postoperational hemorrage and bile leakage.conclusions:be familiar with the anatomic variation of cholecystic vessels and biliary ducts,reasonable operation skill,standard manipulation and abdominal operation in time can decrease the complications of lc.

回顾性分析我院172例lc患者的临床资料，就手术技巧与并发症预防进行探讨。结果：术中发现胆漏3例；术中出血5例；中转开腹3例，中转开腹率为1.74％。全组无胆管损伤、术后出血及胆漏等严重并发症。结论：熟悉胆囊血管和胆管的解剖变异，合理的手术技巧、规范的操作、及时果断的中转开腹可以最大限度的减少lc并发症的发生。

Results All patients underwent percutaneous cholecystostomy with technical success without major periprocedural complications. 93 (96%) patients responded well clinically showing disappearance of right upper abdomen pain and fevers within 72hr. 4 patients complicated with common bile duct stones were underwent PTCD one day after the procedure because of no response clinically. After PTCD, all 4 patients attained clinical symptom relief within 72hr.

结果 所有97例患者均一次置管成功，无任何并发症。93例(96%)患者临床体征如右上腹疼痛、发热在72h内缓解；同时，血常规中的WBC及中性粒细胞均于72h内降至正常范围。4例患者由于肝总管内结石合并胆管炎临床症状缓解不明显而于第2天行经皮肝穿胆管引流术，术后临床症状于72h内亦缓解。

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。

Objective To discuss the diagnosis and treatment of congenital choledochal cyst.

目的 探讨成人型胆管囊肿的临床特点和手术方式，总结胆管囊肿的诊治经验。

Objective To discus the curative effects and preventing measures of complications pancreatic and choledochal diseases treated with ERCP.

目的 探讨内镜逆行胰胆管造影术诊治胰胆管疾病的疗效和并发症的防治措施。

There are two kinds of operations,the first is interposed jejunal choledochoduodenostomy,the second is Rou-en-Y choledochojejunostomy.

术式有两种，一种为间置空肠胆管十二指肠吻合术，一种为胆管空肠Roux-en-Y型吻合术。

RESULTS: Before 1982, there were 178 patients received choledochoduodenostomy, and postoperative cholangitis or blindloop syndrome occurred in 36 cases for anastomotic stricture, 4 of which died.

结果：1982年以前178例，其中36例因吻合口狭窄致胆管炎或胆总管盲端综合征，其中4例死亡，死亡率为2.2％（4／178）；1983后强调低位大口径吻合，其中5例出现胆管炎或胆总管盲端综合征，无死亡病例。

As a result, the incidence of clinical cholangitis, pancreatitis, choledocholithiasis, choledochocyst and biliary cancer was statistically higher in group A than group N.

结果：胆管炎、胆管囊肿、胆系癌和慢性胰腺炎在APBDU组的发生率显著增高。

Main methods included choledochotomy, choledochoscopic exploration,ureteral catheter through cystic duct remnant for drainage of bile duct,Ttube drainage,and the primary closure of duct incision.

1993年10月至2005年3月运用腹腔镜胆总管切开取石术(包括胆总管切开，胆管镜取石，经胆囊管残端输尿管导管胆管引流、T管引流、胆总管切口即时缝合等)有选择地对87例胆总管内径≤08cm的胆总管结石病人进行治疗。

Our results supported That there was close relationship between the liverfluke Clonorchis sinensis and the development of cholangiocarcinoma.

本组结果支持肝吸虫病与胆管癌发生关系密切，具有因果关系的观点，发现有或无肝吸虫病的肝内周围型胆管癌病灶具有相同CT特征及肿

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。