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.
目的:比较腹腔镜胆总管探查一期缝合和T管引流的临床疗效,探讨腔镜胆总管探查治疗经验及适应症。
Purpose: To compare the clinical effect between primary closure and t-tube drainage after laparoscopic common bile duct exploration.
结果:34例成功实施了腹腔镜胆总管探查,胆总管一期缝合8例,放T管引流26例。中转开腹2例。
Results: 34 cases succeed in performing laparoscopic common bile duct exploration, 8 cases with primary suture, 26 cases with t tube drainage.
结论:肝门部胆管是极易受损的部位,不可轻视常规经典胆总管探查、T管引流手术不当所带来的严重并发症。
So the severe complication derived from inappropriate, conventional, classical and open common bile duct (CBD)exploration, Ttube drainage operation should not be neglected.
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.
方法对收治的胆总管探查733例,拔T 管后引起胆汁性腹膜炎16 例的统计学分析、病史的探讨及合并症的研究;
Methods Giving statistical analysis to 733 cases of choledochus exploration and 16 cases of choleperitoneum after the extraction of T-tube, and research the history and complications.
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: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:在桡管远端同样存在卡压骨间后神经的解剖结构,必要时应手术探查、松解。
Conclusions: some anatomic structures at distal radial tunnel may cause the compression of the posterior interosseous nerve, and sometimes the operative exploration and relaxation are necessary.
目的探讨胆道探查T管引流术后并发症发生的原因及其防治措施。
Objective to study the causes and management of postoperative complications in patients with biliary tract exploration an 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.
方法:回顾分析437例胆囊管切开探查患者的临床资料。
Methods: Clinical data of 437 cases performed exploration of cystic duct were retrospectively analyzed.
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.
目的探讨经胆囊管胆道镜探查胆总管治疗胆总管结石可行性。
Objective To evaluate the feasibility of exploration of ductus choledochus for choledocholelithes by choledochofiberoscope via cystic 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.
目的探讨胆总管切开探查术后,T型管的合适夹管时间以减少胆汁丢失的方法。
Objective To explore the proper time of griping T-tube and the method which can reduce the loss of the bile after choledochotomy with exploration.
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.
因此,手术中应对腕尺管和尺神经进行全面的探查,避免因漏诊而致手术疗效不佳。
The ulnar tunnel and ulnar nerve should be completely explored intraoper atively so as to avoid misdiagnosis which may lead to unsatisfactory treatment outcome.
单管型脊髓纵裂脊髓损害轻,不需手术探查。
The spinal cord is damaged slightly in single-tube diastematomyelia and surgery is not indicated.
单管型脊髓纵裂脊髓损害轻,不需手术探查。
The spinal cord is damaged slightly in single-tube diastematomyelia and surgery is not indicated.
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