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find Author "陈颢" 4 results
  • 成人型巨结肠2例报告

    病例1男,36岁,因腹痛2天入院。腹痛呈持续性钝痛,伴恶心,腹胀,纳差,肛门停止排气、排便。3年前曾有类似发作史。查体: 腹部膨隆,可见胃型,无肠蠕动波,触诊柔软,上腹部有压痛,无反跳痛,肠鸣音弱。腹部X线透视提示肠梗阻,气钡双重造影提示结肠先天性发育异常并巨结肠,故行手术治疗。术中发现: 乙状结肠肠管无明显扩张,降结肠与乙状结肠交界处肠管稍有狭窄,降结肠、横结肠极度扩张,肠管直径达15 cm,肠系膜水肿增厚,故行左半结肠(包括狭窄肠段)切除,手术顺利。病理报告为肠管粘膜组织,壁间未见神经节细胞,符合先天性巨结肠。术后恢复良好,痊愈出院。病例2男,27岁,因腹胀2天,腹痛1天入院。1天前感脐周部阵发性疼痛,伴下腹部坠胀感,排少量稀水样大便8次,无血便。儿时有便秘,每3~7天1次,排便困难,成年后症状好转。10年前患“急性肠梗阻”,保守治疗后痊愈。查体: 腹部膨隆,腹软,脐周部有压痛,无反跳痛,肝脾未触及,肠鸣音活跃。腹部X线透视提示肠梗阻,行结肠镜及钡灌肠检查均支持先天性巨结肠诊断,故行手术治疗。术中发现降结肠及乙状结肠无扩张,升结肠、横结肠至结肠脾曲处扩张显著,肠管直径达

    Release date:2016-08-28 04:49 Export PDF Favorites Scan
  • Clinical Research of Changes of Extrahepatic Bile Duct Diameter Before and after Laparoscopic Cholecystectomy

    Objective To explore the diameter change of the extrahepatic bile duct before and after laparoscopic cholecystectomy (LC). Methods From Jan. 2006 to Dec. 2007, 113 patients including chronic gallstone cholecystitis (n=55), inactive cholecystolithiasis (n=46) and gallbladder polyps (n=12) were collected and treated by LC. The diameters of their extrahepatic bile ducts were measured by B ultrasonography before operation, 3 months and 6 months after operation. These data were collected and analyzed retrospectively. Results The diameters of the extrahepatic bile ducts of all patients before LC, 3 months and 6 months after LC were (5±2) mm, (8±2) mm and (6±2) mm respectively. And in chronic gallstone cholecystitis patients they were (5±2) mm, (9±2) mm and (6±2) mm respectively, in inactive gallstone cholelithiasis patients they were (5±2) mm, (8±2) mm and (6±2) mm respectively, and in gallbladder polyps ones they were (5±2) mm, (7±2) mm and (5±2) mm respectively. Conclusion The change of the extrahepatic bile duct diameter after LC is a dynamic process. It is enlarged on the third month after operation than before operation. In the sixth month after operation marked retraction occurs, and compared with before operation, it shows no obvious statistic significance.

    Release date:2016-09-08 11:07 Export PDF Favorites Scan
  • 梗阻性结肠癌52例诊治分析

    Release date:2016-09-08 11:52 Export PDF Favorites Scan
  • 重症闭合性腹外伤52例报告

    Release date:2016-09-08 11:53 Export PDF Favorites Scan
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