目的:探讨胆囊管残株结石的诊断和治疗方法。
Objective: To explore the diagnosis and treatment of cystic duct stump concretion.
结论:经胆囊管胆管造影确有其重要的使用价值。
Conclusion: Operative cholangiography has its important practical value.
目的探讨经胆囊管造影在单纯性胆囊切除术中的价值。
Objective to investigate the value of cholangiography through cystic duct in simple 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.
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.
方法复习胆囊管变异的解剖,分析5例胆囊管低位汇合的病例。
Method Combining the anatomy of cystic duct, analyzing 5 cases with low confluence of cystic duct.
【摘要】目的探讨经胆囊管造影在单纯性胆囊切除术中的价值。
Abstract Objective to investigate the value of cholangiography through cystic duct in simple cholecystectomy.
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:探讨选择性经胆囊管胆道造影在腹腔镜胆囊切除术中的应用价值。
Objective: to investigate the selectivity by the cystic duct cholangiography in laparoscopic cholecystectomy in the application.
结论腹腔镜胆囊切除术中粗大胆囊管采取不同方法处理可顺利完成LC。
Conclusions Large cystic duct during LC can be managed successfully by different methods.
目的:探讨腹腔镜胆囊切除术(LC)中处理胆囊颈及胆囊管结石的方法。
Objective: to explore the methods of treating calculus in neck and duct of gallbladder in laparoscopic cholecystectomy (lc).
结论经后三角入路解剖胆囊管进行LC是一种安全、容易掌握的手术方法。
Conclusions Posterior Calot's triangle approach LC is a safe procedure and simple to operate.
目的探讨胆囊管低位汇合的临床意义,提出对过长的胆囊管残留的重新认识。
Objective Discussing the clinic meaning which cystic duct is low confluence to CBD.
除常规探测方法之外,饮水法、脂餐法等特殊方法在胆囊管结石诊断中非常重要。
Besides the routine examination methods, it was important that some special ways, such as drinking water, fatty meal etc, should be used to diagnose cystic duct lithes.
目的探讨腹腔镜胆囊切除术中经胆囊管胆道造影在胆石症病人中的临床应用价值。
Objective To determine the clinical value of intraoperative cholangiography via cystic duct in laparoscopic cholecystectomy.
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 .
此胆囊管镜的设计,将使得手术的使用范围大大扩展,并提高手术的安全性和便利性。
The design of the cystic duct endoscope greatly expands the scope of application of the surgery, and improves the safety and convenience of the surgery.
此胆囊管镜的设计,将使得手术的使用范围大大扩展,并提高手术的安全性和便利性。
The design of the cystic duct microscope greatly enlarges the application range of the operation and improves the safety and the convenience of the operation.
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.
方法观察和测量84例直接法胆系造影中显影良好的胆囊管。结果胆囊管变异发生率78。
Methods 84 cases of cystic duct with fine image detected with direct cholangiography were observed and measured.
目的通过观察胆囊管正常变异的X线表现,探讨胆囊管正常变异的X线表现及临床病理学意义。
Objective To study X-ray appearances, clinical and pathological significance of cystic duct with natural variation.
结果2例打开胆囊管并取出结石后再打开胆总管,胆囊管直接缝合,5例胆囊管均未解剖游离。
Results Cystic duct were opened and caught out stones, then closed by direct future in 2 cases.
扩张的胆囊管内出现强回声团,后方伴声影,是胆囊管结石直接征象,但其超声检查的敏感性不高;
Strong echoes in the dilated cystic ducts with shadows in posterior were the direct sign of the cystic duct lithes, but the sensitivity was very low.
材料与方法:收集100例行胆囊手术同时作胆囊管胆管造影的病例,将造影发现的残石分别加以统计。
Materials and Methods: Collect 100 cases of gallbladder operations and make the operative cholangiography, then compare the remnant stones discovered by the cholangiography.
方法回顾性分析15例经手术或ERCP证实的胆囊管结石患者,对其声像图表现和探测方法进行研究。
Methods Totally 15 patients with cystic duct lithes confirmed by operation or ERCP were analyzed retrospectively. The sonographic appearances and examination methods were studied.
目的:通过对100例经胆囊管胆管造影的结果进行分析,提高经胆囊管胆管造影对胆道手术价值的认识。
Purpose: Through the analysis of the results of 100 cases of operative cholangiography, to enhance the knowledge of the value of operative cholangiography to the binary tract operation.
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.
结论单纯性胆囊切除术中常规经胆囊管造影可发现隐匿性胆总管结石,能有效减少胆管残余结石,减少胆道损伤。
Conclusion Routinal cholangiography through cystic duct in the simple cholecystectomy can find latent stone in the common duct, then reduce residual stone effectively and lessen biliary duct injury.
结论ERCP可以清晰显示肝外胆管及胆囊管的形态及变异情况,对于胆囊手术术前了解肝外胆道系统形态及变异有重要价值。
Conclusions ERCP can clearly show out the conformation and variation of extrahepatic bile duct and cystic duct and it is of important value before gallbladder operation.
结果:术中造影发现胆囊管变异13例(18%),胆总管结石8例(11.1%),中转开腹3例(4.1%),无胆管损伤。
Results:Intraoperative angiography variation found 13 cases of cystic duct(18%), 8 cases of common bile duct stones(11.1%), three cases of conversion(4.1%), no bile duct injury.
应用推荐