胰石

Objective To evaluate the value of ERCP after the operation of cholelithiasis.

目的 探讨逆行胰胆管造影在胆石症外科手术后的应用价值。

Endoscopic retrograde cholangiopancreatography was performed to inestigate the extent of portal ein inolement of the common bile duct if it existed, to remoe a stone located in the common bile duct when documented, and to confirm the diagnosis of Caroli's syndrome.

内窥镜逆行胰胆管造影术调查门静脉和总胆管的宽度。必要时进行总胆管取石。明确Coroli's综合症的诊断。

Has a rich variety of resources (more than 200 existing species, mainly suitable for the mass market drug, one of two exclusive new drugs - the forefront of ACBEL capsules, oral liquid Fuyanshu extinction; National Traditional Chinese Medicine of the protected variety 2 - Net Stone Capsule, Qingyi cholagogic particles) products are sold throughout the country and the DPRK, and Russia by the vast numbers of patients at home.

具有丰富的品种资源（现有品种二百余种，主要适合于市场大众用药，其中独家新药二个--前列康舒胶囊、妇炎消口服液；国家中药保护品种二个--净石灵胶囊、清胰利胆颗粒）产品销往全国各地及朝鲜、俄罗斯等，深受广大患者的好评。

Objective To explore clinic application of endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy for the treatment of the cholecystic stone combined bile duct disease.

目的 探讨逆行胰胆管造影术联合腹腔镜胆囊切除术对胆囊结石伴胆管病变治疗的临床应用方法 27例胆囊结石伴胆道病变患者，先用ERCP、乳头切开术取石；或ERCP和鼻胆管引流及柱状气囊扩张术治疗，术后3～11天，患者无发热、腹痛，血淀粉酶正常，再按常规四孔法施行LC。

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。

Conventional CT showed 44 cases of edematous type, dynamic contrast enhanced CT found 28 cases had different degree of necrosis of the pancreatic tissue, 6 cases were found to have focal hemorrhage, peripancreatic fluid accumulation were found in 32 cases, pseudocyst were found in 3 cases, abscess in 2 cases.

常规平扫显示胰腺水肿44例，动态增强扫描显示28例出现不同程度的胰腺组织坏死，6例检出局灶性出血；胰周液体聚集32例；假性囊肿3例，脓肿2例；伴胆石症15例，胆囊肿大或胆囊壁增厚22例；胆急管扩张12例，胰管扩张5例；胸腔积液11例。

CT Findings were as follows : pancreas enlargement in 24 cases , focal and diffused hypodense in 39 cases , hemorrhage and necrosis of pancreas in 3 cases, peripancreatic effusion in 39 cases , prerenal fascia thickening in 39 cases , pleural effusion in 24 cases , with thrombosis in portal and SMV in 1 case . A case of pancreas head enlargement misdiagnosed for tumor,a case pancreatitis effusion was through superficial inguinal canal into scrotum.

CT影像学征象如下：胰腺体积增大24例；局限性及弥漫性密度减低39例；胰体及尾部出血坏死3例；胰周间隙渗出39例；肾旁筋膜增厚及脾肾间隙模糊39例，特别是左侧肾前筋膜均累及；少量胸腔积液24例；出血性胰腺炎伴门脉及肠系膜上静脉血栓1例；炎性渗出物通过腹股沟管蔓延到阴囊1例；单纯胰头增大，误诊为胰头肿瘤1例；本组40例中合并胆石12例。

CT Findings were as follows : pancreas enlargement in 24 cases , focal and diffused hypodense in 39 cases , hemorrhage and necrosis of pancreas in 3 cases, peripancreatic effusion in 39 cases , prerenal fascia thickening in 39 cases , pleural effusion in 24 cases , with thrombosis in portal and SMV in 1 case . A case of pancreas head enlargement misdiagnosed for tumor,a case pancreatitis effusion was through superficial inguinal canal into scrotum.

CT影像学征象如下：胰腺体积增 24例；局限性及弥漫性密度减低39例；胰体及尾部出血坏死3例；胰周间隙渗出39例；肾旁筋膜增厚及脾肾间隙模糊39例，特别是左侧肾筋膜均累及；少量胸腔积液24例；出血性胰腺炎伴门脉及肠系膜上静脉血栓1例；炎性渗出物通过腹股沟管蔓延到阴囊1例；单纯胰头增大，误诊胰头肿瘤1例；本组40例中合并胆石12例。

In the negative and interrogative forms, of course, this is identical to the non-emphatic forms.

。但是，在否定句或疑问句里，这种带有"do"的方法表达的效果却没有什么强调的意思。

Go down on one's knees;kneel down

屈膝跪下。。。下跪祈祷