目的：总结自发性胆囊内瘘的诊治经验。
Objective: To summarize the experience in the treatment and diagnosis of spontaneous internal gallbladder fistula.
目的总结结石引起的自发性胆囊内瘘的诊治经验。
Objective To summarize the experience in diagnosing and treating spontaneous internal gallbladder fistula (SIGF).
结论：萎缩性胆囊炎、胆囊结石应警惕合并胆囊内瘘。
Conclusion: Atrophic cholecystitis and cholelithiasis usually suggest internal gallbladder fistula.
对胆囊内瘘患者的临床表现及治疗方法亦进行了讨论。
The Clinical features and treatment of the discase are discussed.
术前仅9例考虑到胆囊内瘘的诊断，其余均在术中发现。
Only 9 patients were suspected of internal gallbladder fistula pre-operatively.
目的分析总结胆囊结石合并胆囊内瘘的临床特征和诊治经验。
Objective To explore a simple method that can reduce biliary fistula and stenosis of bile duct after operation.
结论对萎缩性胆囊炎或长期发作的胆囊炎，应考虑胆囊内瘘的可能。
Conclusion We should think of the SIGF existence in the patients who had the atrophic or long cholecystitis.
胆系结石14例，见胆管或胆囊内光整的隆起性改变，临近管壁光整；
In 14 cases with bile duct stone, there were regular and smooth prominences with normal biliary wall.
实验结果显示豚鼠胆囊内形成胆色素结石，其中模型组成石率高达76.92%。
The results showed that pigment gallstones were found in the gallbladder of guinea pigs, and the gallstones formation rate was 76.92% in model group.
内镜逆行胰胆管造影(ERCP)可在胆囊手术前或手术后用于协助治疗。
ERCP may be used before or after gallbladder surgery to assist in the performance of that operation.
目的：探讨经内镜逆行胰胆管造影（ERCP）在胆囊切除术后残留胆总管结石诊治中的应用价值。
Objective:To study the efficacy of ERCP in the diagnosis and treatment of common bile duct(CBD)residual stones after cholecystectomy.
前言：目的探讨胆囊微小结石引发的胆源性胰腺炎的内镜治疗。
Objective: To evaluation the minimally invasive treatment of acute biliary pancreatitis caused by microlithiasis of the gallbladder.
肝圆韧带径路左侧肝内肝管空肠吻合34例（8％）；经胆囊床行右侧肝内胆管空肠吻合15例（4％）。
Still more 34 cases (8%) left hepatic bilioenterostomy by round ligament approch, 15 cases (4%) right hepatic bilienterostomy through gallbladder fossa.
有2例肿瘤组织浸润胆囊壁内神经束衣。
Nerve bundle of gallbladder wall was infiltrated in 2 cases.
妈妈的肾、胆囊和胰腺都在正常范围内。
Maternal kidneys, gall bladder and pancreas are within normal limits.
束旁核内注入胆囊收缩素-A受体拮抗剂L-364，718能翻转八肽胆囊收缩素对抗电针的镇痛作用。
The injection of cholecystokinin-A receptor antagonist L-364,718 in parafascicularis nucleus could reverse the antagonism of cholecystokinin octapeptide to the effect of electroacupuncture.
目的探讨内镜ERCP在腹腔镜胆囊切除围手术期的应用价值。
Objective To explore the indication and the value of ERCP in perioperative phase of laparoscopic cholecystectomy.
前言：目的：探讨内镜腹腔镜联合治疗胆囊、胆总管结石的围手术期护理方法。
Objective: to explore methods of perioperative nursing of patients with cholecystolithiasis and choledocholithiasis by endoscopic sphincterotomy combined with laparoscopic cholecystectomy.
目的观察硬膜外阻滞和辅助静脉内麻醉行胆囊切除术老年患者血浆内皮素（ET）和一氧化氮（NO）的变化。
Objective To observe the changes of endothelin(ET) and nitric oxide(NO) of old patients undergoing cholecystectomy epidural anesthesia combining with intravenous anesthesia.
结论胆囊结石切除术后容易再发胆总管结石，经内镜胆总管取石是胆囊结石切除术后胆总管再发结石治疗的有效方法。
Choledochal calculus resend easily after cholecyst calculus resection. Endoscopic choledochal resend calculus treatment after cholecyst calculus resection is a safe and effective treatment.
目的探讨内镜逆行胰胆管造影（ ER CP）诊断胆囊管狭长弯曲和外科治疗效果。
Objective The value of endoscopic retrograde choledocho- pancreatography( ERCP ) to detect narrow- winding cystic duct and the effect of surgery were studied .
前言：目的：探讨超声内镜(EU S)对胆囊腺肌增生症的诊断价值。
Objective: to evaluate endoscopic ultrasonography (EUS) in the diagnosis of gallbladder adenomyomatosis.
目的：探讨腹腔镜联合内镜技术在治疗胆囊结石合并胆管结石中的临床应用价值。
Objective: To explore the application of laparoscopy combined with endoscopy in the treatment of gallbladder calculi complicated with bile duct calculi.
结论：腹腔镜联合内镜治疗胆囊结石合并胆管结石安全、可行、疗效良好，应该在胆系结石病的治疗中得到推广应用。
Conclusion: Laparoscopic combined with endoscopic technology is feasible, safe and effective in the treatment of gallbladder calculi and bile duct calculi. It should be used widely in biliary surgery.
结果：胆囊癌呈软组织肿块型11例，腔内结节淹7例，胆囊壁弥漫增厚型1例。
Results: Of 19 cases, soft-tissue type was seen in 11 cases, intra-cystic nodule type in 7 and cystic wall thickening type in 1.
方法：对12 8例肝脏标本的胆囊床进行解剖，观察突入胆囊床内肝中静脉及其属支的行程、位置，测量突入段的直径和长度。
Methods: The cholecystic beds of 128 livers were dissected and the diameter, length, route and position of the middle hepatic vein and its branch in cholecystic bed were observed and measured.
在PTGD组有1例发生胆瘘，1例穿刺管脱出胆囊，但PTGD组腹胀痛和肺损伤等并发症明显低于内镜治疗组（P<0．01）。
In PTGD group, bile leak occurred in 1 patient, and downfall of drainage occurred in 1 case. The complications of bellyache and lung injury was less in PTGD than these in endoscopics group (P<0.01).
内镜逆行胰胆管造影术(ERCP)是一项用于研究胰管、胆管和胆囊的专门技术。
Endoscopic retrograde cholangiopancreatography, or ERCP, is a specialized technique used to study the bile ducts, pancreatic ducts and gallbladder.
结果胆囊癌呈软组织肿块型10例，胆囊壁弥漫增厚型5例，腔内结节型2例。
Results Of 17 cases, soft-tissue mass type was seen in 10, cystic wall thickening type in 5 and intra-cystic nodule type in 2 cases.
方法采用超声仪检测3 6例胆囊切除术后患者的肝内外胆管， 测量胆管内径，观察管腔内回声。
Methods The ultrasonic features of 36 cases with biliary duct disease post Cholecystectomy were analysed. The biliary duct diameter and the echo characteristics inside duct were examined.
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