胆囊管
- 名cystic duct
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在胆囊管上的结扎可能滑脱。
The tie on the cystic duct may slip off .
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97例MRCP中胆管显示率100%,胰管显示率97%,胆囊管显示率68%。
The detective rate of MRCP for bile duct , pancreatic duct and cystic duct were 100 % , 97 % and 68 % respectively .
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LC术中穿线结扎法处理胆囊管和胆囊动脉的临床实践
Clinical Application of Thread-ligating Cystic Duct and Artery in LC
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胆囊管及肝外胆管ERCP图像分析及意义
Analysis of ERCP Image of Cystic Duct and Extrahepatic Bile Duct
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方法:在LC中经胆囊管向胆囊内置入光导纤维,导入冷光源。
Methods : Cold light was led into cystic duct through the optical fiber in LC .
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胆囊管不全性梗阻的ERCP诊断与治疗
Diagnosis and treatment of cholecystic duct partial obstruction by ERCP
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胆石症胆囊管MRCP分析及临床意义
MRCP Analysis and its Clinical Significance of Cystic Duct in Cholecystolithiasis
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ERCP对胆囊管残留综合征的诊断价值
Diagnostic value of ERCP for cholecystic duct remnant syndrome
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方法回顾性分析3例LC术后胆囊管瘘病例的临床资料。
Methods Retrospective study of the clinical materials of 3 cases of cystic duct fistula after LC was made .
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中转OC要视胆囊炎部位、程度、结石梗阻的位置和胆囊管长短而定。
Changing the operation into OC accorded to the position of cholecystitis , obstructing and the length of gallbladder tube .
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目的探讨LC中胆囊管结石的诊断、手术方法及术后并发症的预防。
Objective : To explore the diagnosis and operative methods of calculus of cystic duct during laparoscopic cholectystectomy ( LC ) and prevention of post-LC complications .
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Calot三角的良好显露、正确处理胆囊管和胆囊动脉是LC成功的关键;
The key of LC is good exposure of Calot triangle , correct dispose of gallbladder tube and gallbladder artery .
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本文报告经B超和ERCP检查及手术证实的胆囊管残留综合征13例。
Thirteen cases of cholecystic duct remnant syndrome ( CDRS ) diagnosed by B-type ultrasonic examination and ERCP and confirmed by operation are reported .
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结论胆囊管狭长弯曲是临床并不少见的胆道疾病,ERCP可提高检出率,行胆囊切除术疗效好。``
Conclusion Narrow - winding cystic duct is not a rare biliary disorder with high rate of confirmation by ERCP and fine result following cholecystectomy .
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方法2002年12月~2005年12月,我院采用胆囊管逆行分离法解剖胆囊管行1460例腹腔镜胆囊切除术(laparoscopiccholecystectomy,LC)。
Methods Laparoscopic cholecystectomy was performed in 1 460 cases , by using the retrograde dissection of the cystic duct , from December 2002 to December 2005 in this hospital .
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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 .
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结论LC术后胆囊管瘘临床表现多样,B超可以发现腹腔积液,确定诊断依赖于MRCP和ERCP。
Conclusions The clinical manifestations of cystic duct fistula were different . Ascites can be found under B ultrasound . Final diagnosis relies on MRCP and / or ERCP .
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方法:对具有胆道探查指征的病人,施行胆囊管汇入部切开约2~3mm,然后经此切开处置入胆道镜进行检查和治疗。
Methods : 2 ~ 3 mm incision was made in the confluence part of CBD and cystic duct on patients with exploration indication .
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结论胆囊管解剖结构异常不是Mirizzi综合征的主要原因;
Conclusion The anatomical deformity of cholecystic duct is not major cause of Mirizzi syndrome , nor cholecystic stone or stone obstruction is only cause .
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ERCP造影的X线形态:胆囊管残留过长(残留型)4例,再生胆囊形成呈囊状形6例,憩室型3例;
According to the figures of X-rays photograph of ERCP contrast , 4 cases show longer duct remnants ( remnant type ), 6 cases show cystic form of regenerated bile-cyst , and 3 cases show diverticulum type .
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结论PCS最为常见的病因为胆管结石和胆管狭窄,其他较为少见原因包括十二指肠憩室、Oddi括约肌运动功能障碍、胆囊管残留过长、残余小胆囊及非胆道疾病等。
Conclusions The biliary stone and stricture of bile are the most common etiology in PCS. The other causes include duodenal diverticulum , dysfunction of Oddi sphincter , more remnant of cholecyst duct and residual mini gallbladder and non-biliary tract diseases .
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方法:回顾分析4例胆总管切开取石Ⅰ期缝合、自制硅橡胶环固定胆囊管引流和5d后拔除引流管的患者的临床资料。
Methods : The clinical data of 4 cases of choledocholithotomy with primary suture , drainage of the cystic duct stump using self-made silicon ring closure and withdrawal of drainage on day 5 post-operation were analyzed retrospectively .
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方法104例LC因肝外胆系解剖变异、胆囊管真实性不确定、疑有胆总管结石或胆道损伤、三角区粘连或炎症、急性或萎缩性胆囊炎等被界定为复杂的LC患者。
Methods One hundred and four cases of LC were defined complicated because of anatomic aberrance of the extrahepatic biliary system , unconfirmed exposed cystic duct , suspected CBD calculi or BDI , adhesion or inflammation in the Calot ′ s triangle , acute cholecystitis , and atrophic gallbladder .
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结论:严格控制手术适应证,充分暴露,规范化处理Calot三角、胆囊管和胆囊床,掌握腔内打结技术是预防胆漏的关键。
Conclusions : The key preventing measures includes strictly controlling of the surgery indication , standard handling of the Calot 's triangle , cystic duct and cystic bed , and mastering the tie skills in the cavity .
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结果主动中转开腹79例,主要原因为Calot三角严重粘连、胆囊管结石嵌顿、胆囊萎缩及解剖变异。
Results The main causes were intensive dense adhesion of Calot 's triangle , stone incarceration on the neck of the gallbladder , shrunken gallbladder and abnormal anatomy in 79 cases undergoing LC of active conversion into surgery .
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结果:胆囊管远端结石18例,胆囊管近端结石12例,胆囊管结石Calot三角严重粘连3例,分别采用不同手术方法处理胆囊管。
Results : 18 cases with distal end calculus of cystic duct and 12 case with proximal end calculus of cystic duct , calot triangle adhesive acutely caused by calculus of cystic duct in 3 patients , different operation means were used to handle cystic duct .
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经胆囊管探查胆总管的临床研究
Clinical study on exploration of common bile duct via cystic duct
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胆囊管残端黏液囊肿2例;
Mucocele of bile duct remnant was identified in 2 cases .
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胆囊管结石的治疗:附158例报告
Treatment of cholecystic duct stones : a report of 158 cases
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左、右肝管各自独立地开口于胆囊管近肠部。
Hepatic ducts each open into the cystic duct near the intestines .