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bile duct tumor
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  胆管肿瘤
     PURPOSE:In order to raise the ultrasonic diagnostic accordance rate of bile duct tumor, 47 cases of bile duct tumor are divided into several ultrasonic types and compared with operation and pathology.
     目的:为提高胆管肿瘤的超声诊断率,我们对47例胆管肿瘤进行超声分型,并与手术病理进行对照分析。
短句来源
     MATERIAL and METHOD:47 cases of bile duct tumor are involved in our study. of which 42 were operated, 36 were compared with pathology.
     材料和方法:胆管肿瘤47例,其中42例经手术治疗,36例有病理对照。
短句来源
  胆管肿瘤的
     Ultrasonic Types of Bile Duct Tumor Compared with Operation and Pathology
     胆管肿瘤的超声分型及与手术病理对照分析
短句来源
     PURPOSE:In order to raise the ultrasonic diagnostic accordance rate of bile duct tumor, 47 cases of bile duct tumor are divided into several ultrasonic types and compared with operation and pathology.
     目的:为提高胆管肿瘤的超声诊断率,我们对47例胆管肿瘤进行超声分型,并与手术病理进行对照分析。
短句来源
  “bile duct tumor”译为未确定词的双语例句
     Application of ERCP in hepatocellular carcinoma complicated with bile duct tumor thrombi
     ERCP在肝细胞癌并胆管癌栓时的应用
短句来源
     Objective To study the effect of surgical treatment on hepatocellular carcinoma(HCC) with bile duct tumor thrombi.
     目的 探讨肝细胞癌 (HCC)合并胆管癌栓外科治疗的效果。
短句来源
     Methods Restrospective study was performed on the surgical treatment of 27 cases of HCC with bile duct tumor thrombus from January 1995 to December 2002.Results In 27 operated cases, 16 patients ( 59.3% ) received hepatectomy combined with thrombectomy and biliary duct drainage.
     方法对1995年1月~2002年12月手术治疗的27例HCC合并胆管癌栓情况进行回顾性总结和分析。 结果只有59.3%(16/27)患者行肝切除、胆管取癌栓及胆管引流术。
短句来源
     Objective To analyze the reasons of primary hepatocellular carcinoma with extrahepatic bile duct tumor thrombus misdiagnosed by hilar cholangiocarcinoma and elucidate the anatomical and pathological characteristics of the syndrome.
     目的 分析原发性肝癌合并胆管癌栓易误诊为肝门部胆管癌的原因 ,阐明该病征的解剖和病理特征。
短句来源
     Surgical treatment of hepatocellular carcinoma with bile duct tumor thrombi
     肝细胞癌合并胆管癌栓的外科治疗
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  相似匹配句对
     Treatment of hepatocellular carcinoma with bile duct tumor thrombus
     肝细胞癌合并胆管癌栓的治疗
短句来源
     Surgical treatment of hepatocellular carcinoma with bile duct tumor thrombi
     肝细胞癌合并胆管癌栓的外科治疗
短句来源
     Ultrasonic Types of Bile Duct Tumor Compared with Operation and Pathology
     胆管肿瘤的超声分型及与手术病理对照分析
短句来源
     Detection of tumor markers in the bile for diagnosis of bile duct carcinoma
     胆管癌患者胆汁中肿瘤标志物测定及其临床意义
短句来源
     Iatrogenic bile duct injury
     医源性胆管损伤诊治分析
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  bile duct tumor
A right hemihepatectomy with a bile duct tumor thrombectomy and a right lower lobectomy of the lung were performed.
      
Accordingly, the patients with preoperative positive bile are thus suggested to be at high risk of inducing peritoneal metastasis due to the inadvertent spillage of hepatic bile at the time of resection of a bile duct tumor.
      
The 3- and 5-year actuarial survival rates for patients with proximal bile duct tumor were 44 per cent and 35 per cent, respectively; all except one patient eventually died of disease.
      
The operative mortality rate for patients with resected proximal bile duct tumor was 4 per cent (0 per cent for liver resection) and that of distal bile duct tumor, 4.6 per cent.
      
These findings led to a diagnosis of bile duct tumor, and the patient underwent extrahepatic bile duct resection and biliary reconstruction.
      
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PURPOSE:In order to raise the ultrasonic diagnostic accordance rate of bile duct tumor, 47 cases of bile duct tumor are divided into several ultrasonic types and compared with operation and pathology. MATERIAL and METHOD:47 cases of bile duct tumor are involved in our study.of which 42 were operated, 36 were compared with pathology. The AFP examinations were carried out in 45 cases, within them 13 were positive (29%). 7 cases were accompanied with cholelithiasis. The ultrasonic detective apparatuse...

PURPOSE:In order to raise the ultrasonic diagnostic accordance rate of bile duct tumor, 47 cases of bile duct tumor are divided into several ultrasonic types and compared with operation and pathology. MATERIAL and METHOD:47 cases of bile duct tumor are involved in our study.of which 42 were operated, 36 were compared with pathology. The AFP examinations were carried out in 45 cases, within them 13 were positive (29%). 7 cases were accompanied with cholelithiasis. The ultrasonic detective apparatuse are Acuson-128 XP, SSD-650 and SSD-1200.The frequency of probes is 3 5Mz. The sizes of tumors, the invading area and the diameters of the bile ducts were recorded. The run of the bile duct,the thick of the bile duct wall and the inner echo of the bile duct lumen were observed.RESULT:According to the sonographic characteristics,47 cases are divided into 4 types which are mass-forming (7 cases), cord-like (6 cases), protruding (16 cases) and thrombus-like(18 cases). ln the 36 cases with pathologic comparision,22 are adenocarcinomas while 14 are primary hepatocellular carcinomas. 7 cases with AFP>300μg/L are primary hepatocellular carcinomas. 5 of the 7 cases accompanied with cholelithiasis are adenocarcinomas(91%). CONCLUSION:lt is discovered that the mass-forming type is often seen in the hilar region, while the protruding type is often discovered in the extrahepatic bile ducts. The cord-like and thrombus-like types often invade both intrahepatic and extrahepatic bile ducts. The mass-forming and the cord-like types are all adenocarcinomas, while the protruding and the thrombus-like types may be either adenocarcinomas or primary hepatocellular carcinomas The cases with AFP>300μg/L should be considered to be primary hepatocellular carcinomas. Those accompanied with cholelithiasis should be firstly considered to be adenocarcinomas.

目的:为提高胆管肿瘤的超声诊断率,我们对47例胆管肿瘤进行超声分型,并与手术病理进行对照分析。材料和方法:胆管肿瘤47例,其中42例经手术治疗,36例有病理对照。45例行AFP检查,阳性13例(29%)。7例合并胆石症。仪器使用Acuson-128XP、SSD-650、SSD-1200超声诊断仪,探头频率35MHz。记录肿瘤大小,侵犯范围及肝内外胆管内径,观察胆管走向及管壁增厚程度,管腔内部回声。结果:47例胆管肿瘤分为团块型(7例)、狭窄型(6例)、突入型(16例)、栓塞型(18例)四种超声类型。36例病理对照的病例中,胆管腺癌22例,原发性肝细胞癌胆管内转移14例。7例AFP>300μg/L的均为原发性肝细胞癌胆管内转移。7例合并胆石症中5例为胆管腺癌(91%)。结论:团块型多侵犯肝门部胆管、突入型以肝外胆管多见,狭窄型与栓塞型多同时侵犯肝内外胆管;团块型与狭窄型均为胆管腺癌,突入型与栓塞型则腺癌与原发性肝细胞癌胆管内转移兼而有之;AFP>300μg/L应考虑为原发性肝细胞癌胆管内转移;合并胆石症的病人应首先考虑为胆管腺癌。

Objectives. The aim of this paper is to describe the clinical characteristics, diagnostic procedure and operative management of Mirrizi syndrome. Methods. Sixteen cases of Mirrizi syndrome were selected and reviewed from 1987 to 1997. Results. In the 16 cases, 6 cases were male, 10 cases were female, the average age was 62.7 years old. Ten cases were diagnosed to be Mirrizi syndrome preoperatively(62.5%); 3 cases were considered to bile...

Objectives. The aim of this paper is to describe the clinical characteristics, diagnostic procedure and operative management of Mirrizi syndrome. Methods. Sixteen cases of Mirrizi syndrome were selected and reviewed from 1987 to 1997. Results. In the 16 cases, 6 cases were male, 10 cases were female, the average age was 62.7 years old. Ten cases were diagnosed to be Mirrizi syndrome preoperatively(62.5%); 3 cases were considered to bile duct tumor, the other 3 cases were emergency, they were confirmed the diagnosis after the operation. Conclusions. Ultrasound is recommended as the first choice of screening method, while ERCP may confirm the diagnosis. Surgical approach is considered to be the choice and technical procedures are suggested to prevent intraoperative injury and to repair defects of the common bile duct.

INTRODUCTION  Mirizzi’ssyndromeisdefinedastheobstructivejaundiceandcholangitiscausedbyexternalcompressionofcommonhepaticductbyastoneimpactedinthecysticductorintheneckofthegallbladderwithorwithoutinflammation.Itisararedisease,whichisfirstdescribedb...

Objective To investigate the value of endoscopic ultrasonography (EUS) in the diagnosis of causes for cholangiopancreatic duct dilatation (CPDD). [WT5”HZ]Methods[WT5”BZ] Twenty five patients with CPDD without visual lesions or with unconfirmed lesions in traditional ultrasonography (US) were re examined by EUS, CT and MRI. Of the 25 patients, 19 had periampullary tumor , 3 incarcerated stone at the lower fragment of the common bile duct and 3 obstruction for other causes. [WT5”HZ]Results[WT5”BZ] As compared...

Objective To investigate the value of endoscopic ultrasonography (EUS) in the diagnosis of causes for cholangiopancreatic duct dilatation (CPDD). [WT5”HZ]Methods[WT5”BZ] Twenty five patients with CPDD without visual lesions or with unconfirmed lesions in traditional ultrasonography (US) were re examined by EUS, CT and MRI. Of the 25 patients, 19 had periampullary tumor , 3 incarcerated stone at the lower fragment of the common bile duct and 3 obstruction for other causes. [WT5”HZ]Results[WT5”BZ] As compared with the results of postoperative pathological examination, the detection rate of obstructive lesions by US, EUS, CT and MRI was 17 4% (4/23), 82 6% (19/23), 21 7% (5/23) and 26 7% (4/15), respectively. Their detection rate of tumors was 10 5% (2/19), 84 2% (16/19), 15 7% (3/19) and 23 1% (3/13), respectively. The accuracy of tumor localization by EUS was 87 5%. None of the patients with incarcerated stone were confirmed by US. However, all the patients were confirmed by EUS except, 2 by CT and 1 by MRI. [WT5”HZ]Conclusions[WT5”BZ] EUS is much more sensitive in detecting obstructive lesions and accurate in determining tumor location than US, CT and MRI. However, it is still difficult for EUS to diagnose the papillary tumor or common bile duct tumor with a diameter less than 1 cm.

目的 探讨超声内镜对胰胆管扩张病因的诊断价值。 方法 对 2 5例体外超声 (US)检查发现有肝外胆管胰管扩张 ,但病因诊断有困难的患者施行超声内镜 (EUS)、CT、MRI检查 ,并比较各种检查法的诊断效能。病种包括壶腹周围肿瘤 19例 ,胆总管下段嵌顿性结石 3例和其他病变 3例。 结果 与手术后病理对比 ,US、EUS、CT、MRI的病变检出率依次为 17 4% (4 / 2 3)、82 6 % (19/2 3)、2 1 7% (5 / 2 3)和 2 6 7% (4 / 15 ) ,对 19例肿瘤的检出率分别为 10 5 % (2 / 19)、84 2 % (16 / 19)、15 7%(3/ 19)、2 3 1% (3/ 13) ,EUS对肿瘤定位的符合率为 87 5 % (14/ 16 )。与其他影像学检查相比 ,肿瘤越小EUS的优势越大。对 3例结石US均未能确诊 ,EUS 3例全部检出并确诊 ,CT检出 2例 ,MRI在 2例中检出 1例。 结论 EUS是诊断胰胆管扩张病因、鉴别病变性质、确定肿瘤起源的敏感检查方法 ,但对小于 1cm的乳头癌和胆管癌的诊断可有一定的困难

 
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