肝外胆道

肝外胆道探查术有关解剖问题的讨论

A discussion on the anatomical problem in the exploratory operation of the extrahepatic biliary passages

目的评价CT对肝外胆道梗阻性疾病的病因诊断价值。

Objective To evaluate the value of CT in etiological diagnosis of obstructive disease in extra-hepatic bile duct .

结论CT对大部分肝外胆道梗阻性疾病的病因可作出正确诊断，诊断率约822%。

Conclusion CT could make the correct etiological diagnosis of the disease of obstructive disease in extra-hepatic bile duct with diagnostic rate 82.2 % commonly .

方法肝外胆道梗阻性疾病231例，全部行肝胆胰CT常规扫描。

Methods 231 cases were detected with routine CT scan for liver , gall bladder and pancrease . The entire extrahepatic bile duct can not be visualized in all cases .

方法采用彩色多普勒腹腔镜超声仪对80例胆囊结石患者行LC术中实时肝外胆道系统扫描。

Methods 80 patients with gallstone receiving LC had real - time color Doppler LUS of the extrahepatic biliary system .

结论胆汁型ALP可作为恶性肝外胆道阻塞的有用诊断指标。

Conclusions Bile alkaline phosphatase isoenzyme could be a useful marker in diagnosis of malignant extrahepatic biliary obstruction .

肝外胆道梗阻性疾病的MRC诊断

MR Cholangiography Diagnosis of Extrahepatic Biliary Obstructive Diseases

磁共振胰胆管造影在肝外胆道梗阻性疾病中的应用价值分析MRCP与胰胆管造影在胆管梗阻性病变中的诊断价值比较

MR Cholangiopancreatography in Diagnosis of Extrahepatic Bile Duct Obstruction Diagnostic value of MRCP versus cholangiopancreatography in bile duct obstruction

MRC能显示肝外胆道结构，诊断胆道闭锁的敏感性为94.4%，特异性88.24%；

Sensitivity and specificity of MR cholangiography in diagnosis of EHBA is 94.4 % and 88.24 % .

目的：评估华支睾吸虫肝病的CT检查价值。方法：回顾性对比分析32例华支睾吸虫肝病与36例肝外胆道阻塞所致肝内胆管改变的CT表现。

OBJECTIVE : To evaluate the value of CT examination for clonorchiasis METHODS : Comparisons and analyses have been conducted on 32 patients with clonorchiasis and 36 patients with obstruction of extrahepatic bile ducts through CT scans retrospectively .

因为GB及肝外胆道的运动受机体迷走神经的支配，所以学者们提出胆石症的病因与胆道系统迷走神经调控异常有密切联系。

As far as the vagal innervation of GB and extrahepatic biliary tract is concerned , scholars refer partly the reason of cholelithiasis to vagal dysregulation to biliary tract .

目的探讨腹腔镜术中超声（LUS）在腹腔镜胆囊切除术（LC）中的作用以及LUS对肝外胆道系统的扫描方法。

Objective The value of laparoscopic ultrasonographic scanning ( LUS ) in laparoscopic cholecystectomy ( LC ) and the way of scanning extrahepatic biliary system were reported .

结果恶性肝外胆道阻塞的胆汁型ALP显著高于非恶性肝外胆道阻塞、肝内梗阻性黄疸以及原发性肝癌，正常体检者血清中不存在胆汁型ALP；

Results The mean value of this isoenzyme in patients with malignant extrahepatic obstruction was significantly higher than that of patients with benign extrahepatic obstruction , as well as intrahepatic cholestasis and primary liver cancer .

婴儿肝外胆道闭销（EHBA）现已基本明确为获得性疾病，它不是单纯的发育畸形，而是感染过程引起的进行性纤维化，使胆道闭锁。

It is well accepted that extrahepatic biliary atresia ( EHBA ) is an acquired disease instead of congenital malformation .

材料和方法回顾性分析经手术病理/临床随访证实的52例肝外胆道梗阻的SCT、MRCP表现。

Materials and Methods : The SCT and MRCP appearances of 52 cases with extrahepatic biliary obstructive disease were analyzed retrospectively , which were confirmed by surgery and pathology or clinic data were examined by SCT and MRCP .

结果1例行残胃切除+肝外胆道切除+胆道和消化道重建的患者术后7d死于胆瘘，其余患者黄疸平均于术后16.8（5～27）d消退。

Result 1 case underwent remnant stomach removal in combination with extrahepatic bile ductal excision and reconstruction died of bile leakage at postoperative day 7 . The jaundice was vanished within 16.8 days in average in the rest cases .

结果SCT和MRCP对肝外胆道梗阻定位诊断正确率100%，定性诊断正确率分别为76%、87%，SCT+MRCP为90%以上。

Results : The accuracy rate of location of obstructive level with SCT and MRCP was 100 % . The accuracy rate of quality of biliary obstruction with SCT 、 MRCP was 76 % 、 87 % respectively , SCT and MRCP was more 90 % .

肝外胆道闭锁与巨细胞病毒感染相关性研究

A Study of Relationship between Extrahepatic Biliary Atresia and Cytomegalovirus Infection

新生儿肝外胆道的测量及其临床应用

Of extrahepatic BLLE ducts in newborn measure and its clinical application

50例胆囊动脉和肝外胆道的观察

Observation on Cystic Artery and Extrahepatic Bile Ducts in 50 Chinese

肝外胆道血供来源和分布及其临床意义

The origin and distribution of blood supply to extrahepatic bile duct

婴儿肝炎综合征与肝外胆道闭锁鉴别诊断程序的探讨

Investigation on Differential Diagnosis Between Infantile Hepatitis Syndrome and Extrahepatic Biliary Atresia

肝外胆道动力学因素在胆囊结石形成中的作用

The role of biliary dynamics factor outside the liver in gallstone formation

28例不能手术的肝外胆道系统肿瘤放化疗疗效分析

Radiochemotherapy for unresectable extra-hepatic bile duct carcinoma : analysis of 28 patients

磁共振胆胰管成像在肝外胆道梗阻疾病中的应用

Application of MR Cholangiopancreatography in the Diagnosis of Extrahepatic Biliary Ducts Obstruction

婴儿肝外胆道闭锁病毒病因学研究进展

Advances in studies on the etiology of extrahepatic biliary atresia

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

新生儿肝外胆道系统的观察

Observations of the extrahepatic bile duct system in newborn

豚鼠肝外胆道不同部位组织缺血-再灌注损伤的比较观察

Comparative study of ischemia-reperfusion injury of extrahepatic bile duct

肝外胆道畸形变异4例

Patients of anomalies of biliary system out liver