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hepatobiliary tumor
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  肝胆肿瘤
     The Study on the Cost of Inpatients of Hepatobiliary Tumor in Shanghai Based on Data Mining Method
     基于数据挖掘技术的上海市肝胆肿瘤病例住院费用研究
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  相似匹配句对
     MicroRNA and Tumor
     微RNA与肿瘤
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     Phospholipase D and Tumor
     磷脂酶D与肿瘤的关系
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     The Study on the Cost of Inpatients of Hepatobiliary Tumor in Shanghai Based on Data Mining Method
     基于数据挖掘技术的上海市肝胆肿瘤病例住院费用研究
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Objective To evaluate the value of endoscopy in etiological diagnosis and treatment of post - chole-cystectomy problems. Methods 386 patients with post - cholecystectomy problems were subjected to ERCP. After the etiology had been made clear, patients with choledocholithiasis underwent EST or EPBD to exclude stones, those with papillary inflammatory stricture underwent EST or EPBD, those with papillary diverticulum and SOD underwent EPBD, those with papillary tumor and hepatobiliary tumor underwent EMBE,...

Objective To evaluate the value of endoscopy in etiological diagnosis and treatment of post - chole-cystectomy problems. Methods 386 patients with post - cholecystectomy problems were subjected to ERCP. After the etiology had been made clear, patients with choledocholithiasis underwent EST or EPBD to exclude stones, those with papillary inflammatory stricture underwent EST or EPBD, those with papillary diverticulum and SOD underwent EPBD, those with papillary tumor and hepatobiliary tumor underwent EMBE, and ENBD was performed in those with biliary stricture in middle segment, purulent cholangitis, choledocholithiasis and bile leakage. Results ERCP was successful in 371 cases (96.1 % ) . There were no obvious findings in 30 cases. 243 patients had choledocholithiasis and stones in 235 cases were totally removed after one to three procedures. 39 patients had papillary inflammatory stricture and underwent EST or EPBD successfully one time. 9 patients had papillary diverticulum which oppressed papillary hole, 7 patients had SOD, all of which were delt with EPBD. 16 patients had stricture in middle segment of the bile duct, 11 cases were handled with ENBD. 6 papillary tumor patients and 5 hepatobiliary stricture patients received EMBE and jaundice decreased siginficantly. 6 patients developed bile leakage after cholecystectomy and ENBD was successfully carried out to avoid another operation. 6 had gastroduodenal ulcer. Residual stones in cholecystic duct were found in 4 cases. The overall rate of complications was 21/386 (5.7% ). Conclusions ERCP could reveal definite causes of post - cholecystectomy problems at early stage and is effective in taking corresponding endoscopic therapic measures.

目的 探讨内镜在胆囊切除术后问题病因诊断和治疗的应用价值。方法 对386例胆囊切除术后问题病人行逆行胆胰管造影(ERCP)检查明确病因后,对胆管结石者行括约肌切开术(EST)和乳头气囊扩张术(EPBD)后取石;对乳头炎性狭窄者行EST或EPBD治疗;对乳头旁憩室压迫乳头开口和Oddi括约肌功能紊乱(SOD)者行EPBD治疗;对乳头肿瘤和肝门胆管癌行胆管内支架(EMBE);对化脓性胆管炎、继发性胆总管多发结石、结石难以一次取净及术后胆瘘、胆管中段狭窄者行ENBD。结果 371例(96.1%)ERCP成功。未发现异常30例。胆管结石243例,235例经1-3次内镜取石后取净。乳头炎性狭窄39例,经EST或EPBD治疗1次成功。乳头旁憩室压迫乳头开口9例,SOD 7例,行EPBD治疗1次成功。胆管中段狭窄16例,11例行ENBD成功。乳头肿瘤6例,肝门胆管狭窄5例,行内支架治疗后黄疸减退。胆囊切除术后胆瘘6例,行ENBD治疗成功,避免再次外科手术。胃十二指肠溃疡6例。胆囊管结石残留4例。总的并发症发生率5.7%。结论 ERCP能及早发现胆囊切除术后问题确切病因并给予相应内镜治疗。

Objective:To evaluate the applied value of endoscopy in etiological diagnosis and treatment following cholecystectomized problem.Methods:Eighty-six patients with cholecystectomized problem were given ERCP. After the etialogy had been clear,EST or EPBD was performed on those with choledocholithiasis to take out stones,EST or EPBD on those with papillary inflammatory stricture,SOD on those with papillary diverticulum,SOD,EMBE on those with papillary tumor and hepatobiliary tumor,and ENBD was used for...

Objective:To evaluate the applied value of endoscopy in etiological diagnosis and treatment following cholecystectomized problem.Methods:Eighty-six patients with cholecystectomized problem were given ERCP. After the etialogy had been clear,EST or EPBD was performed on those with choledocholithiasis to take out stones,EST or EPBD on those with papillary inflammatory stricture,SOD on those with papillary diverticulum,SOD,EMBE on those with papillary tumor and hepatobiliary tumor,and ENBD was used for those with blilary stricture in middle segment,purulent cholangitis,chloedocholithiasis (stones could not be taken out in one time) and bile leakage.Results:ERCP was succeeded in 83 cases(96.5%). Seven cases had no abnormal endoscopic view. Forty-five cases suffered from choledocholithiasis,of whom,stones in 41 cases were totally get rid of after one to three times. Four cases with papillary inflammatory stricture were given EST or EPBD successfully in one time. Seven had papillary diverticulum which oppressed papillary hole,2 had SOD,all of whom were dealt with EPBD. Four had stricture in the middle segment of the bile duct,2 of whom were handled with ENBD. Four papillary tumor patients and 5 hepatobiliary stricture patients received EMBE and jaundice dropped significantly following internal stent. Three cases suffered from gastroduodenal ulcer. Residual stones in cholecystic duct were seen in 2 cases. Total incidence of complications were 6.97%.Conclusion:ERCP can find the defenite cause following cholecystectomized problem at early stage and corresponding endoscopic therapeutic measures.

目的 :探讨内镜在胆囊切除术后综合征病因诊断和治疗中的应用价值。方法 :对 86例胆囊切除术后综合征病人行ERCP检查明确病因后 ,对胆管结石者行EST和EPBD后取石 ;对乳头炎性狭窄者行EST或EPBD治疗 ;对乳头旁憩室压迫乳头开口和SOD者行EPBD治疗 ;对乳头肿瘤和肝门胆管癌行EMBE ;对化脓性胆管炎 ,继发性胆总管多发结石、结石难以一次取净及术后胆瘘、胆管中段狭窄者行ENBD。结果 :83例(96 .5 % )ERCP成功。未发现异常 7例。胆管结石 4 5例 ,其中 4 1例经 1~ 3次内镜取石后取净。乳头炎性狭窄 4例 ,经EST或EPBD治疗 1次成功。乳头旁憩室压迫乳头开口 7例 ,SOD 2例 ,行EPBD治疗 1次成功。胆管中段狭窄 4例 ,2例行ENBD成功。乳头肿瘤 4例 ,肝门胆管狭窄 5例 ,行内支架治疗后黄疸减退。胃十二指肠溃疡 3例。胆囊管结石残留 2例。总的并发症发生率 6 .97%。结论 :ERCP能及早发现胆囊切除术后综合征确切病因并给予相应内镜治疗。

 
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