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The mean patient age was 58 years (range, 32 to 85 y). Abdominal enlargement and pain were the usual complaints. Treatment was known in 14 patients: 10 had hysterectomy with bilateral salpingo-oophorectomy, which was accompanied by omentectomy in 7; and 4 had only unilateral or bilateral salpingo-oophorectomy, 1 with omentectomy.

这些患者平均年龄58岁(范围32至85岁),腹围增大和腹部疼痛是她们的主要症状。14例患者的临床治疗情况如下:10例切除了子宫、双侧卵巢和输卵管,其中7例同时切除了网膜;另外4例只切除了单侧或双侧卵巢和输卵管,其中1例同时切除了网膜。

When a malignant tumor is present, a thorough abdominal exploration, total abdominal hysterectomy,bilateral salpingo-oophorectomy,lymphadenectomy, omentectomy, and removal of all gross cancer are standard therapy.

当是恶性肿瘤,腹部探查术,子宫全切术,双测输卵管卵巢切除术,淋巴结切除术,大网膜切除术和所有可见肿瘤的摘除术都是标准的治疗。

When a malignant tumor is present, a thorough abdominalexploration, total abdominal hysterectomy,bilateralsalpingo-oophorectomy,lymphadenectomy, omentectomy, and removal of allgross cancer are standard therapy.

当是恶性肿瘤,腹部探查术,子宫全切术,双测输卵管卵巢切除术,淋巴结切除术,大网膜切除术和所有可见肿瘤的摘除术都是标准的治疗。

Results:There were no abdominal pain and fever,jaundice faded away gradually postoperation.Biliary drainage was 300ml-1000ml/d more or less.Colour of bile changed into normal by degrees.Intra peritoneal drainage was open and the colour was light bloody.Amount of drainage dropped off day after day.Whole blood cell test, serum glutamic pyruvic transaminase,serum glutamic oxalacetic transarninase,total serum protein,serum albumin and serum globulin returned to normal in first week postoperation.Serum bilirubin,serum glutamyltranspetidase and serum alkaline phosphatase declined gradually in first week postoperation.T-tube was clipped at twelfth day postoperation.T-tube Cholangiography was clear at 24~ day postoperation.

结果:术后无上腹部绞痛、高热,黄疸逐渐减退,每日引流胆汁300ml-1000ml不等,由淡黄色混浊、内有胆泥过渡到金黄色清亮的正常胆汁,腹腔引流通畅,引流液为淡红色,量从最初的200ml迅速过渡到10ml,血常规、血清谷丙转氨酶、谷草转氨酶、总蛋白、白蛋白、球蛋白等1周内均恢复正常,血清总胆红素、直接胆红素、间接胆红素、谷氨酰转肽酶、碱性磷酸酶逐渐下降,术后12d夹闭T管,术后24d T管造影提示左、右肝管及胆总管下端通畅,无狭窄。

This study was performed to analyze the outcome after local resection and pancreatoduodenectomy and to identify predictie factors for surial.

本研究目的是分析壶腹部肿瘤局部切除或胰十二指肠切除术的预后,并探讨影响生存率的预后因素。

Methods: The clinical data of 576 cases who underwent pancreatoduodenectomy in our department between Feb 1990 and May 2009 were analysed retrospectively.

回顾性分析1990年2月-2009年5月因壶腹部恶性肿瘤实施的576例胰十二指肠切除术后患者的临床资料。

CT diagnoses have high sensitivity and specificity for abdomen parenchymatous organ injurics,which supplies important foundation for clinical treatment pian .

CT对腹部实质脏器损伤具有很高的敏感性和特异性,为临床决定方案提供重要的依据。

ct diagnoses have high sensitivity and specificity for abdomen parenchymatous organ injurics,which supplies important foundation for clinical treatment pian .

ct对腹部实质脏器损伤具有很高的敏感性和特异性,为临床决定治疗方案提供重要的依据。

It is an effective method to use CDFI to assess resectability of pancreatic head and perimedullary tumor.

应用CDFI可评价胰头癌和壶腹部周围癌的血管浸润程度,是评价手术可切除性的一种有效方法。

Methods ct scan were performed with patients suffered from lumbar or abdominal blunt trauma, and ct findings of 24 patients with renal trauma or companying with adjacent injuried organs were analyzed retrospectively.results according to the ct features of part, range and extent of the injured kinds, the lesions could be divided into 4 types:(1) type ⅰ, simple subpeplos hematoma (4 cases);(2) type ⅱ, renal parenchyma trauma (7 cases);(3) type ⅲ, renal parenchyma accompanying hematoma (8 cases);(4) type ⅳ,broken kidney accompanying perinephric hematoma (5 cases).

对闭合性腰部或腹部创伤患者行ct扫描,分析24例肾脏损伤或合并邻近脏器复合性损伤患者的ct征象。结果:根据肾损伤的部位、范围和程度可将ct表现分为四型:ⅰ型,单纯肾包膜下血肿,4例;ⅱ型,肾实质挫伤,7例;ⅲ型,肾挫裂伤并肾内血肿,8例;ⅳ型,肾裂伤伴肾周血肿,5例。

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然而,正如其名字所指出的那样,CD盘不能写,也不能用任何方式改变其内容。

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