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biliary operations
相关语句
  胆道手术
     APPLICATION OF U-TUBE IN BILIARY OPERATIONS
     U型管在胆道手术中的应用
短句来源
     Results all 49 cases in OAGP were treated by earlier biliary operations and 44 cases were cured; all 94 NOAGP cases by non surgical procedure.
     结果 OAGP组49例作了较早期手术,44例治愈,NOAGP组94例均先行非手术治疗,2周至3个月后再行延期胆道手术,结果死亡1 例,余均治愈。
短句来源
     Methods 175 cases with repeated biliary operations from 1987 to 1997 were analysized restroperctively to study the causes,operative styles,timing of the operation,postoperative complications and outcome.
     方法 回顾性分析了 1987年至 1997年 175例多次胆道手术的手术原因、手术方式、手术时机、术后并发症及疗效情况。
短句来源
     The incidence ot bile duct cancer at hepatic hilum has a tendency to increase in recent years. This paper is to report 60 cases during a 10-year-period from 1975 to -1985. The cancer at the hepatic hilum (60 cases) made up 73% of all extrahepatic bile duct cancers(82 cases),and accounted for 1.65% of 3626 biliary operations done at the same period.
     肝门胆管癌近年有增多趋势,本文报告我院1975年~1985年间肝门胆管癌60例,占全部肝外胆管癌82例之73.1%,占同期全部胆道手术3626例之1.65%。
短句来源
     Surgical Treatment for Choledocholithiasis Patients who Underwent Repeated Biliary Operations
     多次胆道手术病人的外科治疗分析
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  胆道术
     A improved method for entcral nutrition after biliary operations
     胆道术后肠内营养置管方法的改进
短句来源
     Twenty seven cases of intestinal fistulas after biliary operations
     胆道术后肠外瘘27例分析
短句来源
  “biliary operations”译为未确定词的双语例句
     while in 369 cases out of the 702 who underwent intrahepatic biliary operations, 136 cases were found to have residual stones (36.85%).
     肝内胆管手术369例次,残留结石136例,残石率36.85%。
短句来源
     ANALYSIS OF AMINO ACIDS IN BILE DRAINED BY "T" TUBE AFTER BILIARY OPERATIONS
     胆道术后“T”管引流胆汁的氨基酸分析
短句来源
     Methods:The authors analyzed retrospectively 8 patients with duodenal injuries who had gathered from two hospitals in the biliary operations.
     方法 :收集两家医院遇到的 8例十二指肠损伤病人作回顾性的临床分析。
短句来源
     TO STUDY THE CAUSES AND TREATMENT OF LIVER ABSCESS AFTER BILIARY OPERATIONS
     胆道术后肝脓肿的原因分析及诊治
短句来源
     Conclusion The important factors to decrease the postoperative complincation and mortality in treatment of acute cholangitis of severe type in elderly patients who underwent repeated biliary operations are to master the operative method and timing,to treat concomitant diseases, to strive for elective surgery(2 weeks~3 months after PTCD or EBEBND),and to avoid unreasonable operation.
     结论 掌握手术时机和方法 ,不前行 PTCD或 EBEBND,处理并存病 ,争取择期手术 ,避免急诊手术盲目性是外科治疗多次胆道术后老年重症胆管炎 ,减少并发症 ,降低死亡率的关键
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  biliary operations
For laparoscopic biliary operations, the changes in laparoscopic and open operations over time and the number of operations per trainee each year were used to measure the growth of a laparoscopic operation and to predict future trends.
      
Background: After more than a decade of growth for laparoscopic cholecystectomy and decline in open cholecystectomy, the impact on the training of resident's in other open biliary operations can be analyzed quantitatively.
      
Operative ultrasonography provided beneficial information during 73 of 82 hepatic operations (89.0%), 57 of 69 noncalculous biliary operations (82.6%), and 177 of 242 pancreatic operations (73.1%).
      
These data directly influence the indication, planning, and performance of all biliary operations.
      
From 1975 to 1984, we have performed 2,894 biliary operations, including the Whipple operation.
      
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A total of 1,867 patients were admitted or readmitted to this department in the period from January 1976 to November 1982 and 1,081 of them underwent certain biliary surgery for the treatment of biliary lithiasis. The operations of 702 cases out of the 1,081 were performed on the biliary duct, either exlrahepatic or intrahepatic. In 333 cases out of the 702 who received extrahspatic biliary surgery, 20 cases were found to have postoperative residual biliary stones (6%); while in 369 cases out of the 702 who...

A total of 1,867 patients were admitted or readmitted to this department in the period from January 1976 to November 1982 and 1,081 of them underwent certain biliary surgery for the treatment of biliary lithiasis. The operations of 702 cases out of the 1,081 were performed on the biliary duct, either exlrahepatic or intrahepatic. In 333 cases out of the 702 who received extrahspatic biliary surgery, 20 cases were found to have postoperative residual biliary stones (6%); while in 369 cases out of the 702 who underwent intrahepatic biliary operations, 136 cases were found to have residual stones (36.85%). Altogether 156 cases out of the 702 operated cases suffered from postoperative residual biliary stones and the overall incidence was 22%.The predisposing, causes of the occurrence of residual stones were discussed-In order to prevent or reduce the occurrence of residual stones, the key, as suggested by the authors, is to perform every emergency or selected operation very carefully without leaving any hidden trouble.

本文统计了自1976年1月至1982年12月7年间1867例胆道疾病1081例次胆道系统手术中702例次结石性胆道手术后,胆道内残留结石156例,残石率为22%。肝外胆道手术333例次,残留结石20例,残石率为6%。肝内胆管手术369例次,残留结石136例,残石率36.85%。分析讨论了肝内、外胆管结石手术后残留结石发生的因素。提出如何作好每一例急性和择期胆道手术是预防和减少术后残留结石的最积极的关键性措施。

Among the 64 cases of intrahepatic biliary stones treated from 1977 to 1984, 52 had had 1-6 biliary operations. Stones were found only in the intrahepatic ducts in 35 cases and in both intra and extrahepatic ducts in 29. 31.2% of the patients had stones only in the left hepatic duct. Choledocholithotomy and Roux-en-Y choledochojejunostomy were performed in 41 cases (64.1%), left lateral lobectomy or left hemihepatectomy with or without an intrahepatic cholangio-jejunostomy in 15, revision of the stoma...

Among the 64 cases of intrahepatic biliary stones treated from 1977 to 1984, 52 had had 1-6 biliary operations. Stones were found only in the intrahepatic ducts in 35 cases and in both intra and extrahepatic ducts in 29. 31.2% of the patients had stones only in the left hepatic duct. Choledocholithotomy and Roux-en-Y choledochojejunostomy were performed in 41 cases (64.1%), left lateral lobectomy or left hemihepatectomy with or without an intrahepatic cholangio-jejunostomy in 15, revision of the stoma of choledochoduodenostomy in 3, choledocholithotomy in 4 and removal of stones by right lobe hepatomy in 1. Fifty-eight cases (90.6%) were followed for 1-9 years. The results were good in 16 (27.6%), inproved in 27 (46.6%) and poor in 6 (10.3%). Seven patients died of biliary infection or liver failure, 2 died of unrelated diseases.In our opinion, biliary-intestinal anastomosis is preferred. Better results and less ascending cholangitis were found in 72.2% of the patients underwent Roux-en-Y chole dochojejunostomy. In the treatment of left hepatic duct stones, a left lateral lobectomy or left hemihepatectomy is the operation of choice.

本文报告64例肝内胆管结石的治疗结果。其中有52例曾作过1~6次胆系手术。结石仅在肝内胆管者为35例(单纯在左侧者17例),29例肝内外胆管均有结石。41例作Roux-Y式胆管空肠吻合,15例作左肝外叶或左半肝切除,3例作了胆总管十二指肠吻合口扩大术,单作胆总管切开取石者有4例,另1例仅作右肝前叶表面结石摘除术。58例得到随访。随访时间1~9年。16例疗效良好,27例疗效尚好,6例不佳。随访时已死亡的有9例,除2例外均死于胆道感染或肝功能衰竭。作者认为:宜尽早采用手术治疗Roux-Y式胆管空肠吻合术应属首选,结石局限于左侧肝内胆管内者可作左肝外叶切除或左半肝切除。

The incidence ot bile duct cancer at hepatic hilum has a tendency to increase in recent years. This paper is to report 60 cases during a 10-year-period from 1975 to -1985. The cancer at the hepatic hilum (60 cases) made up 73% of all extrahepatic bile duct cancers(82 cases),and accounted for 1.65% of 3626 biliary operations done at the same period. The clinical manifestations of the patients could be categorized into three types, the presenting symptoms were obstructive jaundice in 29 cases, of which 25...

The incidence ot bile duct cancer at hepatic hilum has a tendency to increase in recent years. This paper is to report 60 cases during a 10-year-period from 1975 to -1985. The cancer at the hepatic hilum (60 cases) made up 73% of all extrahepatic bile duct cancers(82 cases),and accounted for 1.65% of 3626 biliary operations done at the same period. The clinical manifestations of the patients could be categorized into three types, the presenting symptoms were obstructive jaundice in 29 cases, of which 25 had been misdiagnosed as infectious hepatitis; the symptoms of acute cholangitis were found in 12 cases; and in 14 cases, various symptoms and signs of biliary diseases had been found for a long time before the diagnosis was established as cancer. In the remaining 5 cases, miscellaneous manifestaions were revealed. The patients were examined with B-US(19 cases), ERCP(10 cases) and PTC(39 cases). The final diagnosis was established according to the findings of PTC and / or ERCP, surgical exploration, or histopathological examination.Surgery was performed on 56 cases. Only 6 out of the 56 received radical resection of the cancer with hemi-hepatectomy; palliative internal drainage of the bile duct was done on 15 cases, external drainage on 23 cases, and other palliative measures on 12 cases. The average survival time after operation was 24.5 months iu 6 cases with radical resection, 8.7 months in 48 cases with palliative measures, and only 5 months in 4 cases without surgical intervention. Ear- ly diagnosis is imperative if successful therapy is expected. It is suggested that a patient over 40 years of age, suffering from "infectious hepatitis" or obstructive jaundice, be watched out for the possibility of hilum cancer, and appropriate examinations such as B-US,CT,ERCP or PTC be carried out. It is emphasized that PTC plays an important role izi the diagnosis of hilum cancer. In severe cases, the intrahepatic bile ducts could be examined with PTC of the two sides at oae time. Exploratory laparotomy should be performed on suspected cases.

肝门胆管癌近年有增多趋势,本文报告我院1975年~1985年间肝门胆管癌60例,占全部肝外胆管癌82例之73.1%,占同期全部胆道手术3626例之1.65%。临床表现主要有三型:1)阻塞性黄疸29例,其中25例曾误诊为肝炎;2)急性胆管炎12例;3)长期胆道疾病14例,其他5例。本组行B超检查19例,ERCP10例,PTC39例。最后诊断根据PTC和/或ERCP,剖腹术及病理检查结果。 56例施行了手术治疗,仅6例施行肿瘤连同半肝切除,姑息性肝胆管内引流15例,外引流23例,其他方法12例。平均存活时间:6例切除组24.5月,48例姑息手术组8.7月,未手术的4例为5月。文中强调早期诊断,凡40岁以上出现阻塞性黄疸或“传染性肝炎”均须警惕胆管癌,进行B超,CT,ERCP或PTC检查,文中强调PTC是诊断本病重要手段,可选择进行右左肝管PTC。本病应争取手术切除,不能切除者行肝胆管内引流或外引流,二者疗效无明显差别。

 
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