腹腔镜

Ropivacaine has good analgesic effect for patients with laparoscopic cholecystectomy, injecting ropivacaine into the incision and cholecystic bed is more effective and safer.

罗哌卡因对腹腔镜胆囊切除术患者具有很好的镇痛效果，联合切口处浸润和胆囊床表面喷洒罗哌卡因的效果更佳，具有较好的安全性。

ERCP combined with LC for treatment of the cholecystic stone concomitant with bile duct disease in accordance with a modern conception of the surgical treatment with mini-damage,it will be credible selection of the surgical manner with mini-damage.

ERCP联合腹腔镜对胆囊结石伴胆管病变的治疗，符合外科微创诊治理念，是外科微创术式的可靠选择。

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 etiology and treatment of cholecystolithiasis combined with cholecystocolonic fistula or cholecystoduodenal fistula.

目的：探讨胆囊结石合并胆囊结肠瘘或胆囊十二指肠瘘的原因及腹腔镜手术治疗。

Objective:To observe the clinical results of LC combined with EST in treating cholecystolithiasis and choledocholithiasis.

目的： 总结腹腔镜胆囊切除术＋十二指肠乳头括约肌切开术治疗胆囊、胆总管结石的体会。

Methods:The clinical data of 6 cases that received LC combined with EST herapy for cholecystolithiasis and choledocholithiasis were analyzed retrospectively.

目的：总结腹腔镜胆囊切除术＋十二指肠乳头括约肌切开术治疗胆囊、胆总管结石的体会。方法：为6例患者行LC＋EST。

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。

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。

Results Five studies(n=325)in which the diagnostic ability of EUS and ERCP had been prospectively compared in patients with a suspicion of choledocholithiasis were collected.

螺旋CT作为新的非侵入性的方法也被应用于胰胆管系统疾病的诊断，但其结果可靠性较差[6，7]；术中胆道造影和ERCP一样也被认为是诊断胆总管结石的金标准，但是在行腹腔镜下胆囊切除术时行该操作十分困难，无法成为常规检查。

If patients are suitable,laparoscopic choledocholithotomy is safe and effective in the hands of skilled endoscopiests.

只要选择合适的病例，腹腔镜胆总管切开取石术治疗细径胆总管结石是可行、有效和安全的。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。