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gallbladder perforation
相关语句
  胆囊穿孔
     Analysis of the Surgical Treatment on 27 Elderly Patients with Gallbladder Perforation
     老年胆囊穿孔外科治疗27例分析
短句来源
     Results\ 7 cases was confirmed by ultrasonography,1 case was confirmed by CT,and 1 case died of gallbladder perforation,no operative mortality in emergency cholecystectomy.
     结果 B超确诊为术后急性胆囊炎者 7例 ,CT确诊 1例 ,1例因胆囊穿孔而死亡 ,急性胆囊切除术病例无死亡。
短句来源
     Results Of the 133 cases, there were 60 cases of gastroduodenal perforation, 15 cases of acute cholecystitis, 8 cases of gallbladder perforation, 2 cases of sigmoid colon perforation, 35 cases of acute perforated appendicitis, 3 cases of jejunal diverticulum perforation, 1 case of foramen of Winslow hernia, 4 cases of acute pancreatitis, and 5 cases of primary peritonitis. The diagnostic accuracy was 100%.
     结果胃十二指肠穿孔60例,急性胆囊炎15例,胆囊穿孔8例,乙状结肠穿孔2例,急性阑尾炎并穿孔35例,空肠憩室穿孔3例,小网膜孔疝1例,急性胰腺炎4例,原发性腹膜炎5例,诊断准确率达100%,并在腹腔镜下行相应的治疗。
短句来源
     Materials and Methods:The ultrasonograms of 26 patients with gallbladder perforation were analyzed retrospectively.
     材料与方法:回顾26例胆囊穿孔患者的声像图特点。
短句来源
     Conclusion:B-mode ultrasonography of gallbladder perforation possesses the important clinical value.
     结论:B超诊断胆囊穿孔在临床上有一定的应用价值。
短句来源
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  胆囊破裂
     Compared with four - port LC, three - port - looping LC further alleviate postoperative pain (P<0.05) and does not increase the bleeding volume, gallbladder perforation and complications (P>0.05) except the longer operative time( P<0.05).
     临床前瞻性研究表明,三孔套扎法与传统LC相比,尽管手术时间较长(P<0.05),但术后疼痛进一步减轻(P<0.05),术中出血量、胆囊破裂和术后并发症等没有增加(P>0.05)。
     Compared with four-port LC, three-port-looping LC further alleviate postoperative pain (P <0.05) and does not increase the bleeding volume, gallbladder perforation and complications (P >0.05) except the longer operative time(P <0.05).
     临床前瞻性研究表明,三孔套扎法与传统LC相比,尽管手术时间较长(P<0.05),但术后疼痛进一步减轻(P<0.05),术中出血量、胆囊破裂和术后并发症等没有增加(P>0.05)。
短句来源
     From Jan to Dec in 2003, 100 patients undergoing LC were randomized into 2 groups:three-port-looping LC group and four-port LC group. The operative time, the bleeding volume during operation, gallbladder perforation, postoperative pain and complications were studied.
     2003年1月 ̄12月将100例LC随机分为传统组(n=50)和三孔套扎组(n=50)进行前瞻性研究,比较手术时间、术中出血量、胆囊破裂、术后疼痛和术后并发症等。
短句来源
     From Jan to Dec in 2003, 100 patients undergoing LC were randomized into 2 groups; three - port - looping LC group and four - port LC group. The operative time, the bleeding volume during operation, gallbladder perforation, postoperative pain and complications were studied.
     2003年1月~12月将100例LC随机分为传统组(n= 50)和三孔套扎组(n=50)进行前瞻性研究,比较手术时间、术中出血量、胆囊破裂、术后疼痛和术后并发症等。
  胆囊穿孔
     Analysis of the Surgical Treatment on 27 Elderly Patients with Gallbladder Perforation
     老年胆囊穿孔外科治疗27例分析
短句来源
     Results\ 7 cases was confirmed by ultrasonography,1 case was confirmed by CT,and 1 case died of gallbladder perforation,no operative mortality in emergency cholecystectomy.
     结果 B超确诊为术后急性胆囊炎者 7例 ,CT确诊 1例 ,1例因胆囊穿孔而死亡 ,急性胆囊切除术病例无死亡。
短句来源
     Results Of the 133 cases, there were 60 cases of gastroduodenal perforation, 15 cases of acute cholecystitis, 8 cases of gallbladder perforation, 2 cases of sigmoid colon perforation, 35 cases of acute perforated appendicitis, 3 cases of jejunal diverticulum perforation, 1 case of foramen of Winslow hernia, 4 cases of acute pancreatitis, and 5 cases of primary peritonitis. The diagnostic accuracy was 100%.
     结果胃十二指肠穿孔60例,急性胆囊炎15例,胆囊穿孔8例,乙状结肠穿孔2例,急性阑尾炎并穿孔35例,空肠憩室穿孔3例,小网膜孔疝1例,急性胰腺炎4例,原发性腹膜炎5例,诊断准确率达100%,并在腹腔镜下行相应的治疗。
短句来源
     Materials and Methods:The ultrasonograms of 26 patients with gallbladder perforation were analyzed retrospectively.
     材料与方法:回顾26例胆囊穿孔患者的声像图特点。
短句来源
     Conclusion:B-mode ultrasonography of gallbladder perforation possesses the important clinical value.
     结论:B超诊断胆囊穿孔在临床上有一定的应用价值。
短句来源
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  “gallbladder perforation”译为未确定词的双语例句
     ANALYSIS OF THE GALLBLADDER PERFORATION IN 32 AGED PATIENTS
     32例老年胆囊穿孔的临床分析
短句来源
     The Retrospective Analyses of B-mode Ultrasonographic Findings From Gallbladder Perforation in 26 Cases
     B型超声对26例胆囊穿孔的回顾性分析
短句来源
     Results Gallbladder perforation and gangrene were reached up to 31.8% and 36.4% respectively,as well misdiagnosis 31.9%,and mortality 9.1%.
     结果本组病例胆囊坏疽及穿孔率高达31.8%和36.4%,误诊率达31.9%,病死率为9.1%。
短句来源
     Results:The ultrosonographic diagnostic rate of gallbladder perforation was 46%.
     结果:B超对胆囊穿孔的诊断率为46%。
短句来源
     EXPERIENCE OF DIAGNOSIS AND TRETMENT IN ACUTE GALLBLADDER PERFORATION
     胆囊急性穿孔的诊治体会(附10例报告)
短句来源
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  gallbladder perforation
Spontaneous gallbladder perforation-An unusual presentation of carcinoma of the pancreas
      
There have been very few previous reports of necrotizing fasciitis following gallbladder perforation.
      
Details of the operative procedures and postoperative course of patients in whom gallbladder perforation occurred were reviewed.
      
Conclusions: Gallbladder perforation and stone spillage might cause hazardous complications.
      
Results: Gallbladder perforation (20%) and stone spillage (9%) were the two most common complications of LC which occurred during the dissection (75%) and removal (25%) of the gallbladder.
      
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Objective\ To investigate the causes,diagnosis and treatment of postoperative acute cholecystitis.Methods\ Clinical data of 9 cases with postoperaive acute cholecystitis were analyzed retrospectively.Results\ 7 cases was confirmed by ultrasonography,1 case was confirmed by CT,and 1 case died of gallbladder perforation,no operative mortality in emergency cholecystectomy.Conclusion\ The prevalent etiology is biliary stasis.Early diagnosis and treatment is the key point to decrease the death rate.

目的 探讨术后急性胆囊炎的病因、诊断方法和治疗。方法 回顾性分析 9例术后急性胆囊炎的临床资料并复习文献。结果 B超确诊为术后急性胆囊炎者 7例 ,CT确诊 1例 ,1例因胆囊穿孔而死亡 ,急性胆囊切除术病例无死亡。结论 胆汁淤积是引起术后急性胆囊炎的主要病因。早期确诊、及时治疗是降低病死率的关键

Objective To investigate the reasons and administrative ways of spilling gallstone in peritoneal cavity during laparoscopic cholecycstectomy(LC).Methods Between September 1991 and December 1999,7200 patients with gallstone spillage into peritoneal cavity during LC were retrospectively analysed in our unit,and the successfull experiences were summed up for preventon.Results In this group,there were 363 patients with gallstone spillage during LC,and the incidence of gallstone spillage was about 5%.In these...

Objective To investigate the reasons and administrative ways of spilling gallstone in peritoneal cavity during laparoscopic cholecycstectomy(LC).Methods Between September 1991 and December 1999,7200 patients with gallstone spillage into peritoneal cavity during LC were retrospectively analysed in our unit,and the successfull experiences were summed up for preventon.Results In this group,there were 363 patients with gallstone spillage during LC,and the incidence of gallstone spillage was about 5%.In these patients,219 cases were because of cutting into the wall of the gallbladder when it is being dissected away from the liver.43cases were because of dislodgement of the clip from the gallbladder side of the cystic duct,and other 67 cases were because of applying excessive force on the gallbladder during extraction through too narrow abdominal orifice,other 67 cases were because of gallbladder perforation puncture by forceps during enlarging abdominal orifice.But the true incidence of retained stones during LC is diffcult to determine in this group.Following up 1~8 years ,there were not complications secondary to these spilled stones such as peritoneal abscess,stone migration through retroperitoneum to a previous surgical wound or mechanical small obstruction.Conclusion Gallbladder perforation by puncture during dissection,forceful retration on the gallbladder during dissection resulting in tearing the gallbladder,dislodgement of the clip from the gallbladder side of the cystic duct and applying excessive force on the gall bladder during extraction through anterior abdominal orifice are the main reason of spillage gallstones during LC.In order to avoid some complication related to spilled stones during LC,various effort should be made to remove them.However,it is not recommended to perform laparotomy in order to remove all spillage gallstones during LC because most retained stones are harmless to patients.

目的 探讨腹腔镜胆囊切除术 (L C)结石漏入腹腔发生的原因、预防措施及处理方法。方法 回顾分析了 1991年 9月~ 1999年 12月 72 0 0例 L C术中结石漏入腹腔患者发生的原因 ,探讨其临床预防措施及处理成功的经验。结果  L C术中结石漏入腹腔 36 3例 ,其中 L C术中胆囊分破所致 2 19例 ,钳夹胆囊侧胆囊管钛铗脱落所致 43例 ,自腹壁戳孔取出时撕破34例 ,分离钳扩开戳孔时刺破 6 7例 ,结石漏入腹腔发生率约为 5 %。L C术中结石漏入腹腔后多全部取出 ,腹腔残留结石患者确切数目不甚清楚 ,随访 1~ 8年无腹腔脓肿、窦道形成等并发症出现。结论  L C术中胆囊分破、钳夹胆囊侧胆囊管的钛铗碰落、自腹壁戳孔取出时用力撕破或胆囊取出时因戳孔过小扩开时刺破是 L C术中结石漏入腹腔的主要原因。L C术中一旦结石脱入腹腔采取必要的方法全部取出是减少或避免腹腔残石发生的主要措施。 L C术中结石脱入腹腔未能全部取出 ,可严密观察随访 ,不必为此中转开腹

Objective:To investigate the reasons and administrative ways of spilling gallstone in peritoneal cavity during laparoscopic cholecycstectomy (LC).Methods:Between May 1995 and May 2001,2400 patients were treated with LC.There were 156 cases gallstone dropped into peritoneal cavity during LC.That were retrospectively analysed.Results:In this groups,there were 156 patients with gallstone splillage into abdominal cavity and the incidence was about 6.5%.In these patients,120 cases were gallstone fall into peritoneum...

Objective:To investigate the reasons and administrative ways of spilling gallstone in peritoneal cavity during laparoscopic cholecycstectomy (LC).Methods:Between May 1995 and May 2001,2400 patients were treated with LC.There were 156 cases gallstone dropped into peritoneal cavity during LC.That were retrospectively analysed.Results:In this groups,there were 156 patients with gallstone splillage into abdominal cavity and the incidence was about 6.5%.In these patients,120 cases were gallstone fall into peritoneum because of cutting into the wall of the gallbladder when it is being dissected away from the liver,and 16 cases chronic atrophic cholecysits when dissecting that were gallbladden ruputure,and 12 cases were because of galladder perforation puncture by forceps during enlarging abdominal orifice,and other 8 cases were because of dislodyement side of the clip from the gallbladder side of the cystic duct.Following up 1~6 years,one case,postoperation got stomachacke continue 1 month,another patient feels a little fever and has a pain in the stomach the third day after operation,with B-ultrasonography help,there was a little liquid in the fossa of gallbladden,and leave a piece of gallstone,the patient left the hospital one week later,after three months,the patient still has pain in the stomach.In this group,there were not complications secondary to the stomach.In this group,there were not complications secondary to those spilled stones such as pertieneal cavity infection and fistula form.Conclusions:Gallbladder perforation by puncture during dissection,forceful retration on the gallbladder during dissection resulting in tearing the gallbladder,side of the cystic duct and applying excessive force on the gallbladder during extracting through anterion abdominal orifice are the main reason of spillage gallage gallstones during LC.In order to avoid some complication related to spilled stones during LC,various effort should be made to remove them.However,it is not recommended to perform laparotomy in order to remove all spillage gallstones during LC because most retained stones are harmless to patients.If the gallstones spillage into abdominal cavity are too big or great many,we can't find them with laparoscopy's help.We should widen the main holes to 2~3cm,then with laparoscopy's help again,and we use fingers to take away all gallstones.

目的 :探讨LC术中结石落入腹腔造成腹腔结石残留的原因、预防措施及处理方法。方法 :对 1995年 5月~ 2 0 0 1年 5月所施行的 2 40 0例LC术中发生结石落入腹腔的 15 6例进行回顾性分析。结果 :2 40 0例LC中 ,结石落入腹腔 15 6例 ,其发生率约为 6 .5 %。随访 1~ 6年 ,1例病人术后出现轻微腹痛 ,1月后腹痛消失 ;1例术后第 3天出现低热、腹部不适 ,B超发现胆囊窝少量积液 ,有一粒结石残留 ,1周后出院 ,随访 3月仍感腹痛。本组无腹腔感染 ,窦道形成。结论 :胆囊被电凝钩分破或胆囊被有齿抓钳抓破、慢性萎缩性胆囊炎行胆囊大部切除时胆囊管胆囊侧钛夹脱落、自戳孔取出胆囊时胆囊被挤破是结石落入腹腔的原因。LC术中采用各种方法取尽落入腹腔的结石是预防腹腔结石残留的主要措施。LC术中未能全部取出的结石是细小结石或结石碎片 ,不必中转开腹取石 ,术后应密切观察随访。如落入腹腔的结石过大或数量过多 ,腹腔镜下无法找到时 ,应扩大主操作孔至 2~ 3cm ,伸入手指在腹腔镜下寻找结石 ,直至取尽结石

 
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