结论肝胆管的充分显露和切开是手术成功的关键;
Conclusions Complete exposure and incision of the intrahepatic and biliary tracts are very important for operational success.
在熟练操作者手中,EUS引导的介入操作也许能缓解左肝胆管或胰胆管系统的梗阻,包括联合使用ERCP技术。
In experienced hands, EUS-guided interventions may be capable of alleviating obstruction from the left hepatic biliary ducts or the pancreatic duct system, including rendezvous techniques with ERCP.
目的探讨肝胆管结石并胆管癌的早期诊断与治疗方法。
Objective to probe into the method of early diagnose and treatment of cholelithiasis with bile duct carcinoma.
目的探讨肝胆管结石手术后并发症及其影响因素,合理选择肝胆管结石的术式,预防或减少肝胆管结石的术后并发症。
Objective to investigate the postoperative complications of hepatolithiasis and their correlative factors to select rational types of operation and prevent or reduce the complications.
结果表明肝胆动态显像检查可以显示出胆管结石时肝胆排泄功能的异常,ROI技术能够提高早期胆道梗阻的诊断率。
Abnormal changes in hepatobiliary excretion function in cholelithiasis can be showed by hepatobiliary scintigraphy. ROI and TAC can improve the diagnosis rate of early biliary tract obstruction.
肝叶或肝段切除,或联合肝内胆管或肝门胆管空肠大口吻合是治疗肝胆管结石并肝胆管狭窄的有效方法。
Lobe or segment hepatectomy together with hepatic bile duct or hilar biliary duct-jejunostomy is the best choice for treatment of calculus in hepatobiliary ducts complicated with stricture.
目的探讨肝叶(段)切除联合手术治疗肝胆管结石并狭窄的效果。
Objective to study the effect of the hepatic segmental resection with combined operation for hepatobiliary calculus and stricture.
目的评价外科手术在肝胆管结石治疗中的作用。
Objective to evaluate the effect of surgery in the treatment of hepatolithiasis.
目的评价经皮经肝胆管引流术(PTBD)治疗胆肠吻合术后梗阻性黄疸的临床效果。
Objective to evaluate the clinical effect of percutaneous transhepatic biliary drainage (PTBD) for obstructive jaundice after biliary-intestinal anastomosis.
目的探讨肝胆管盆式内流术的治疗措施。
Objective To investigate the treatment of hepatobiliary-basin drainage.
目的研究纤维胆道镜取石在肝胆管残余结石治疗上的价值以及彗星征定律的镜外表现。
Objectives To study the value of choledochofiberscope in treatment of residual intrahepatic stones and the outer scope expression of comet sign.
结论对于复发及残余肝胆管结石患者,应根据结石的部位、狭窄的程度等采取相应的治疗方法。
Conclusions The treatment methods for recurrent and residual hepatolithiasis should be adopted in accordance with stones distribution and stricture degree of bile duct.
目的:探讨肝胆管造影在肝胆管结石诊断及个体化手术方案选择中的应用价值。
Objective:To evaluate the value of cholangiography in the diagnosis and selection of a personalized operative plan in intrahepatolithiasis.
目的:比较超声引导经皮经肝胆囊穿刺胆道造影(TGB-PTC)与逆行胰胆管造影(ERCP)在胆系疾病诊断中的应用价值。
Objective:To compare the clinical value between ultrasonic leading puncture percutaneous trans hepatic and trans gallbladder cholangiography(TGB PTC) and ERCP in diagnoses of bile duct diseases.
目的探讨肝胆管结石胆肠吻合术后再手术的原因。
Objective to explore the causes of reoperation after cholangioenterostomy for hepatolithiasis.
结论术中胆道镜能明显降低肝胆管结石术后残余结石率及结石复发率,有助于术者选择合理的手术方式,值得推广。
Conclusion Intraoperative choledochoscopic technics is useful to decrease the residual stone rate and the recurrence rate, and helps to choose the proper methods of operations.
目的:探讨15例因肝胆管结石至胆管狭窄合并胆汁性肝硬变门脉高压症(PHSBCH)的外科治疗。
Objective: to investigate the surgical treatment of 15 patients with portal hypertension of secondary biliary cirrhosis due to hepatolithiasis (PHSBCH).
作者对肝肠吻合术治疗肝胆管结石并狭窄的85例病人进行了3~16年的随访调查。
The author has followed up 85 cases of hepatolithiasis accompanied withdual stricture by treatment of hepaticojejunostomy for 3-16 years.
目的评价超声引导经皮经肝胆管置管引流术在无手术适应证胆道梗阻疾病中的应用价值及疗效判断。
Objective To evaluate the clinical value of ultrasound-guided percutaneous transhepatic biliary drainage (PTBD) in biliary obstructive diseases and its curative effect.
方法回顾性分析106例肝胆管结石患者术中、术后利用纤维胆道镜检查、取石治疗的临床资料。
Methods to analyse 106 patients with hepatolithiasis in intraoperative and postoperative used the choledochoscope to check and removed stones.
目的探讨肝胆管囊腺癌的螺旋CT影像特征及鉴别诊断。
Objective To evaluate spiral CT features and differential diagnosis of cystadenocarcinoma in the hepatic biliary duct.
随着冷保存时间的延长,应用UW液冲洗胆管可以提高供肝胆管细胞的保存效果。
With the cold preservation lasting, we can get better effect of preservation of biliary tract cell when washing bili ary tract by UW solution.
结论严格掌握手术适应症,选择正确的术式,并注意提高手术操作技术是预防肝胆管结石胆肠吻合术后再手术的关键。
Conclusion For hepatolithiasis, grasping operative indication strictly, choosing right operative style and elevating operative skills are the keys to prevent reoperation after cholangioenterostomy.
结论肝胆管结石病的临床病理分型是一种科学、合理的分型方法。
Conclusion Our clinical pathologic staging is a reasonable typing method for intrahepatic stones.
方法:回顾性分析22例肝胆管结石患者再次手术的临床资料。
Methods: Retrospective analysis of 22 cases of bile duct stones in patients with clinical data of re-operation.
目的注意肝胆管结石合并胆管变异,提高肝内胆管结石的诊断治疗水平。
Objective to evaluate the clinical significance of bile duct stone with bile duct abnormality and improve the surgical technique and diagnostic ability for this situation.
目的评价普通超声探头引导经皮经肝胆管穿刺置管引流术(PTCD)的临床价值。
Objective To evaluate clinical value of PTCD wi th common ultrasonic transducer.
目的评价普通超声探头引导经皮经肝胆管穿刺置管引流术(PTCD)的临床价值。
Objective To evaluate clinical value of PTCD wi th common ultrasonic transducer.
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