本组43例病人中,34例行胆囊切除术,5例行胆囊大部分切除术,4例行胆囊切除术加胆总管探查术,T形管引流术。
Of the 43 patients, 34 underwent cholecystectomy, 5 partial cholecystectomy and 4 cholecystectomy, exploration of come bile duct and T-tube drainage.
目的:探讨选择性胆囊管切开探查在腹腔镜胆囊切除术中的应用。
Objective: to study the application of selective exploration of cystic duct in laparoscopic cholecystectomy.
目的评价经胆囊管残端输尿管导管胆道引流在胆总管探查、胆管一期缝合术中的应用价值。
Objective To evaluate the value of bile duct drainage using ureter catheter through cystic duct remnant with primary closure of the common bile duct (CBD) incision after CBD exploration.
结果8例胆囊切除术,4例胆囊切除及胆总管探查T管引流术者在术后发现胆总管内残留结石。
Results Postoperative choledochal residual stones were found in 8 cases subject to cholecystectomy, and 4 cases subject to cholecystectomy plus t tube drainage following bile common duct.
方法:选择胆总管切开探查T管引流术病人。
Methods patients with choledochotomy and T-tube drainage were selected in the study.
方法:病例选择自2003年3月至2006年3月间我科收治的ACST患者264例,在本研究初期随机选取40例胆总管结石致acst的患者入院后行急诊开腹胆总管探查、T管引流术,作为手术对照组。
Methods: From March 2003 through March 2006, 264 patients with ACST, 40 cases were randomly selected to perform emergent open bile duct exploration and T-tube drainage for case-control study.
结论:在无禁忌证的前提下,无论是开腹还是腹腔镜手术,应首先考虑经胆囊管途径行胆道镜胆道探查取石术。
Conclusion:In both of open and laparoscopic operation, it should choose transcystic common bile duct exploration with choledochoscope first without contraindications.
结论:在严格掌握手术适应证的情况下,腹腔镜胆总管切开探查后一期缝合术较T管引流术疗效更好。
Conclusions: If the indication of primary suture was strictly mastered, the clinical effect of primary suture was better than T-tube drainage after laparoscopic common bile duct exploration.
方法对1 996 -1 999年间,因腰椎间盘突出症合并神经根管狭窄38例行手术治疗,术中均行神经根管探查并彻底松解受压神经根。
Methods 38 cases of lumbar disc herniation with strictured nerve root canal were treated by surgery from 1996 to 1999. To explore that nerve root canal and completely release the pressured nerve.
方法对1 996 -1 999年间,因腰椎间盘突出症合并神经根管狭窄38例行手术治疗,术中均行神经根管探查并彻底松解受压神经根。
Methods 38 cases of lumbar disc herniation with strictured nerve root canal were treated by surgery from 1996 to 1999. To explore that nerve root canal and completely release the pressured nerve.
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