1.DATA SOURCES: A computer-based online search of OVID database was undertaken to identify articles about artificial bile duct published in English from January 1966 to October 2006 with Keyword of "artificial bile duct".
资料来源:通过计算机检索OVID数据库1966-01/2006-10有关人工胆管的文献,检索词“artificial bile duct”,限定文章语言种类为English。
2.Objective To study the relationship between the expression of p57KIP2 and clinicopathological characteristics in invasive duct carcinoma(IDC).
目的研究p57KIP2在乳腺浸润性导管癌(invasive duct carcinoma,IDC)中的表达及与临床病理特征的关系。
3.Among them 2 cases were transective injury of common bile duct,1 cauterization of common bile duct,2 clip of common bile duct,1 cystic duct bile leakage,and 3 gallbladder bed injury.
其中胆道损伤 9例 ,包括胆总管横断 2例 ,胆总管电灼伤 1例 ,胆总管夹闭 2例 ,胆囊管残端漏 1例 ,胆囊床损伤或胆囊迷走胆管损伤 3例。
4.Results Cholangiography of Mirizzi syndrome revealed a broad, curvilinear impression on the common hepatic duct in the area where the cystic duct or gallbladder was in direct apposition, hepatic bile duct dilation above the level of the cystic duct.
结果 Mirizzi综合征在胆道造影上的典型表现为 :胆管位于胆囊管或胆囊直接对应之处可见较宽的弧形充盈缺损 ,边缘光滑 ,其上胆管扩张。
5.Then the parameters of bile emptying (Tmx in liver and common bile duct, T1/2 in liver and common bile duct, time of duodenal appeared (DAT) ,transit time from liver to duodenol (HDTT) and half-emptying time in common bile duct after fatty food augmentation( T1/2),the appearance time of gallbladder(Tg) )were calculated and then compared.
结果胆囊切除术后组与正常对照组比较,十二指肠显影时间(DAT)及胆总管通过时间(HDTT)差异有显著性(P值均小于0.05),而肝高峰摄取时间(Tmax)、半排时间(T1/2)、胆总管高峰摄取时间(Tmax)及半排时间(T1/2)差异无显著性(P
6.The post-operative diagnosis of 16 cases were: common bile duct (CBD) injury (3 cases), cholecystolithiasis with cystic duct and common bile duct confluence excessively low (2 cases), metastasic lesion of carcinoma of gallbladder (2 cases), pancreatic carcinoma 2 cases, pancreatic tuberculosis (2 cases), and chronic pancreatitis, CBD stone, ampullar carcinoma, duodenal carcinoma, abdominal cavity tuberculosis 1 cases respectively.
16例经手术探查确定诊断 ,分别为 :胆总管损伤 3例 ,胆囊管与胆总管汇合点过低伴结石嵌顿 2例 ,胆囊癌转移灶 2例 ,胰腺癌 2例 ,胰腺结核 2例 ,慢性胰腺炎、胆总管结石、壶腹癌、十二指肠癌和腹腔结核各 1例 ;
7.Outside the porta hepatis, the main hepatic duct joins the cystic duct from the gallbladder to form the common bile duct, which drains into the duodenum.
在肝门外部?总肝管与从胆囊来的胆囊管汇合形成胆总管?并汇入十二指肠。
8.The reason for unsuccesful clean out included: accompanied cannular stricture of hepatic duct, aberrance of hepatic duct and inlaid calculi in grade 3 hepatic duct.
取石失败的原因为 :合并肝胆管管状狭窄 ,胆管有解剖变异 ,结石位于 3级以上胆管并嵌顿。
9.Results MRCP examination succeeded in all 67 patients and the pancreaticobiliary duct was shown satisfactorily. The accuracy of MRCP in the detection of the degree and level of bile duct obstructionwas 100 %. In diagnosis of bile duct stone and malignant biliary obstruction, the diagnostic rate of MRCP was 95.3% and 78. 9% ,respectively.
结果67例MRCP检查均一次成功,胰胆管显示满意,对胆道梗阻程度判定和定位诊断准确率100%,胆道结石和恶性梗阻定性诊断准确率分别为95.3%和78.9%。
10.Conclusion The results of MRCP showed that MRCP is a feasible and ideal method to visualize and measure the gallbladder bile duct system and the pancreatic duct without any wound, The results also provide statistic data for the diagnosis of the dilatation of the gallbladder and the pancreatic duct.
结论:MRCP结果说明MRCP是一种无创、简单易行、比较理想的显示及测量胆系及胰管的方法,这一结果对诊断胆管、胰管扩张提供了统计数据。