胆道

Gallstones coming from the same patient were divided into four groups and soaked in different solutions: NS, Danshitong solution, and 2 JEYS solutions; Cholagogue effects was observed with method of intubating in cobaya' bile duct.

取同一病人的多发性胆石标本随机分为生理盐水组，JEYS低、高剂量组及阳性对照组，用试管法溶石；用豚鼠胆道插管法进行利胆实验，实验分组同溶石组。

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 31 cases of patients with biliary calculi in 46 cases (of which 30 cases with intraoperative findings basically the same, one cases of distal common bile duct stones misdiagnosed as ampulla negative tumors), The qualitative and positioning accuracy rates were 96.8% and 100% respectively;In 15 cases of patients with biliary andpancreatic tumors (9 cases of cholangiocarcinoma, 1 cases of gallbladder carcinoma, pancreatic cancer 2 cases, 1 ampullary cancer and 1 cases of congenital cysts), 14 cases were correctly diagnosed, The qualitative and positioning accuracy were 93.3% and 100% respectively.

结果 46例患者中31例胆道结石（其中30例与术中所见基本一致，1例胆总管下端阴性结石误诊为壶腹部肿瘤），定性、定位准确率分别为96.8％、100％；15例胆胰肿瘤患者中（9例胆管癌、1例胆囊癌、2例胰头癌、1例壶腹部癌、1例先天性但总管囊肿），14例得到正确诊断，定性、定位正确率分别为93.3％、100％。

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。

Methods:20 cases with choledocholithiasis treated with laparoscopy and choledochofibersope were reviewed and analysed.

回顾20例胆总管结石患者在腹腔镜下行胆总管切开、纤维胆道镜取石、T管引流术。

All of those who did choledocholithotomy had remaining calculi, and with the help of endoscope, 4 cases still had remaining calculi, only 33.3％ cases had excellent results.

行胆总管切开术的，术后残石 15例(100％)，经术后胆道镜，仍有 4例未取净。随访结果表明：肝叶切除术优良率为 80％，胆总管切开术的优良率为 33.3％。

Objective To investigate the feasibility, safety and effctiveness on laparoscopic choledochotomy with endobiliary drainage and primary closure of the common bile duct.

目的 探讨腹腔镜胆总管切开探查胆道内置引流管、胆总管一期缝合的临床应用可行性、安全性和有效性。

Endoscopic palliatie treatment of both biliary and duodenal stenoses is safe and effectie in the long term, including in patients with combined obstructions.

内镜姑息治疗胆道及十二指肠狭窄从长远看来是安全和有效的，这对同时伴胆道和十二指肠狭窄的病人也是如此。

Liver free radical injury may be one of the important mechanisms of hepatic injury induced by biliary obstruction. Tet can protect liver effectively from the injury after biliary obstruction.

自由基损伤可能是胆道梗阻导致肝损害的重要机制之一，Tet对胆道梗阻所致肝损害有明显保护作用。

Objective To evaluate imaging features and clinical value of CT biliary virtual endoscopy in the detection of biliary calculus.

目的 评价螺旋CT胆道仿真内窥镜在诊断胆道结石中的应用。

According to the clear water experiment, aeration performance of the new equipment is good with high total oxygen transfer coefficient and oxygen utilization ratio.

曝气设备的动力效率在叶轮转速为120rpm～150rpm时取得最大值，此时氧利用率和充氧能力也具有较高值。

The environmental stability of that world - including its crushing pressures and icy darkness - means that some of its most famous inhabitants have survived for eons as evolutionary throwbacks, their bodies undergoing little change.

稳定的海底环境─包括能把人压扁的压力和冰冷的黑暗─意谓海底某些最知名的栖居生物已以演化返祖的样态活了万世，形体几无变化。