胆道结石

术后胆道结石的内镜介入治疗

Endoscopic treatment of postoperative biliary stones

手术和胆道镜相配合，是解决胆道结石的理想途径。

The conjugation of operation and choledochoscopy is an ideal approach to treat retained biliary stones .

目的探讨胆源性胰腺炎（GP）病人胆道结石的处理方式和时机。

ObjectiveTo investigate reasonable operative model and timing of biliary lithiasis of patients with gallstone pancreatitis ( GP ) .

B超和CT对胆道结石诊断阳性准确率为91.3%和90.3%，13例泥沙样胆石CT漏诊。

The positive accuracy of ultrasonography ( US ) and CT for biliary duct calculus was 91 . 3 % and 90 . 3 % , respectively . Sanded stone were missed on CT in 13 cases .

GP病人胆道结石的最佳处理时期是胆道和胰腺的炎症得到控制后，大多数病人需要1～3周。

The best timing to deal with biliary lithiasis of patients with GP is when the inflammation of bile duct and pancreas gets controlled , and that would be 1 to 3 weeks for most patients .

方法对35例壶腹部周围癌、胆管癌、胰头癌及胆道结石患者行MRCP，对照内窥镜逆行胰胆管造影ERCP及手术病理结果进行分析。

Methods 35 carcinomas of the ampulla , bile duct and head of pancreas were examined with MRCP while control studies were made with endoscopic retrograde cholangiopanreatography ( ERCP ) and postoperative pathological studies .

MRI-FIESTA成像序列对胆道结石的诊断价值

The value of MRI-FIESTA in the diagnosis of biliary system calculus

ERCP联合偏振光显微镜镜下查找BML可以明显提高胆道结石，特别是BML的诊断率。

ERCP combined BML undertaken under polarized light microscopic may improve the diagnostic accuracy of duct lithiasis , especially the diagnostic accuracy of bile microlithiasis in duct .

结果：ERCP成功率95.56%，胆道结石最常见，占59.88%，其次为胆管癌，占8.72%；

Results : ERCP was successfully undergone in 95.56 % of the total cases . 59.88 % was diagnosed as cholelithiasis and 8.72 % was diagnosed as cancer of the biliary duct , the two most common diseases .

由于失去了Oddi括约肌的控制，胆汁和胰液可以相互返流从而引起胆总管扩张症，胆道结石，胆道肿瘤及其胆源性胰腺炎等疾病。

What the sphincter of Oddi falls to prevent mutual reflux of bile and pancreatic juice into the pancreatic and bile ducts lead to some diseases such as congenital choledochal dilation , biliary stone , carcinoma of the biliary and gallstone pancreatitis , etc.

肝移植术后胆道结石及胆泥形成原因与诊治

Causes , diagnosis and treatment of bilestone and biliary sludge after liver transplantation

腹腔镜技术在肝外胆道结石治疗中的应用

The application of laparoscopic technique in the treatment of extra-hepatic bile duct stones

目的探讨输尿管肾镜在胆道结石外科的应用价值。

Objective : To explore the applied value of ureterorenoscopy in cholelithiasis surgery .

胆道结石手术死亡原因分析

Analysis of Causes of Death Following Surgery for Gallstones

空肠盲袢在胆道结石手术中应用的效果观察

The effect of applying blind jejunal loop in the operation of bile duct stones

肝移植在复杂胆道结石治疗中的应用和评价

Application and evaluation of Liver transplantation in the treatment of complex biliary tract stone

肝硬化对胆道结石手术的影响与治疗体会

Influence and treatment of cirrhosis on Cholelithiasis surgery

胆道结石液电碎石仪碎石效果的临床研究

Clinical Research of Electrohydraulic Lithotripsy Effect in Cholelithiasis

本文对历经20年三代胆道结石灌注溶石药剂研究进行小结。

We studied at 3 generation medicines of hepatic stone dissolution with infusion over the past 20 years .

耳穴皮肤改变以白点为多数占90.74%，白块片状增生有9.26%，白点多少与胆道结石形态有关；

The positive signs on auricular-point are white dots for 90.74 % , and flakes for 9.26 % .

结果其中，132例术后有胆道结石残留，残余结石率为18.5%。

Results Residual stones in the bile duct were found in 132 ( 18.5 % ) cases after the operation .

目的：评价复方甘草酸苷对胆道结石并发阻塞性黄疸患者手术后的退黄效果。

OBJECTIVE : To observe the effect of compound glycyrrhizin on patients with cholelithes combined with ob ˉ structive jaundice .

结论：超声应为诊断胆道结石的首选方法，其他影像方法也是有益的补充

Conclusions : Ultrasound is the first choice to diagnose calculi of bile ducts , and other medical imaging methods are beneficial complements

主要实习了有关损伤、感染、肿瘤及其他性质的疾病（如：胆道结石，肠梗阻）等。

Obtained the clinical experience on treatment of trauma , inflection , tumor and other diseases , such as gallstone and intestinal obstruction .

方法：对50例老年胆道结石的病人进行随机分组，分别行两种手术，其中腹腔镜组23例，应用腹腔镜、微型纤维胆道镜、取石钳；开腹组27例。

Method : 50 elderly patients with cholelithes were divided into laparoscopy group ( 23 patients ) and operation group ( 27 patients ) .

目的对胆道结石再手术发生的原因、治疗方式及疗效进行临床分析，避免或减少胆道残留结石的发生并提高疗效。

Objective To study features and causes of biliary duct re-operations and evaluate their therapeutic efficacy for avoiding its occurrence and decreasing its number .

结论对无黄疸胆道结石病人，术中胆道造影可降低术后胆道残余结石的发生率，减少胆道损伤，避免阴性胆总管探查。

Conclusion The intraoperative cholangiography can decrease residual calculus in the biliary tract , reduce the injury of biliary tract and avoid the unnecessary exploration in the common duct .

合并急性胰腺炎5例（59%），其中3例由胆道结石引起，1例由吸虫梗阻引起，1例由胆管癌引起。

5 ( 5.9 % , 3 caused by calculus of biliary tract , 1 caused by obstruction of fluke , 1 caused by malignant tumor ) complicated with acute pancreatitis .

结果：本组术后23例黄疸中胆管损伤9例，胆道结石6例，急性肝炎2例，胆源性胰腺炎2例，溶血性疾病1例，肝癌1例，药物性黄疸2例。

Results : In this group , there were 9 cases of damages in choledoch , 6 cases of choledocholith , 2 cases of acute hepatitis , 2 cases of gallstone pancreatitis , 1 case of hemolytic jaundice , 1 case of liver cancer and 2 cases of drug-induced jaundice .

CT、MRI及MRCP结合MRI诊断胆道系统结石的临床价值

Clinical evaluation of ct , mri , mrcp combined with MRI in diagnosing biliary stones