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1.
十二指肠乳头旁憩室与胰胆疾病的关系   总被引:4,自引:0,他引:4  
王连源  张世能  陈其奎 《广东医学》1999,20(11):866-867
目的 十二指肠乳社憩室(简称JDD)与逆行胰胆管造影术(ERCP)操作及与胰胆徉病的关系。方法 应用十二指肠镜进行ERCP检查。结果 930例ERCP术中,发现JDD98例(10.53%)。98例JD右胰胆疾病83例(84.69%),JDD的部位及乳头形态与胰胆疾病的发生无明显差异性。但JDD的大小与临床症状和体征有明显的相关性(P〈0。.05)。伴有JDD的ERCP插管成功率为91.80%,与同  相似文献   

2.
ERCP诊断十二指肠乳头旁憩室80例分析   总被引:1,自引:0,他引:1       下载免费PDF全文
ERCP诊断十二指肠乳头旁憩室80例分析首都医学院宣武医院消化内科张泰昌,朱美中.耿喜成,陈意麟,沙忠芬,周丽萍十二指肠乳头旁憩室通常指距乳头1~2个环形皱襞(2~3cm)以内的憩室[1]。在ERCP检查中比较常见,且与胆胰疾病关系密切,本文对我院1...  相似文献   

3.
十二指肠乳头区憩室与胆、胰疾病间关系的探讨(附51例ERCP检查分析)许曼华,徐祥熹,王国桢,陈峰,吴自英,马清珍南京铁道医学院附院消化科210009自1990年至1994年6月对较完整资料的乳头旁恿呈伴有胰、胆疾病者51例,进行ERCP检查分析如下...  相似文献   

4.
174例十二指肠乳头旁憩室的临床分析   总被引:3,自引:0,他引:3  
目的:探讨十二指肠乳头旁憩室与胆胰疾病的关系以及对内镜下胰胆管插管技术的影响。方法:经内镜逆行胰胆管造影(ERCP)直视下观察乳头旁憩室的大小、形态及与乳头开口的关系,并通过逆行胆道造影了解有无胆道结石及胆道狭窄,检查发现乳头旁憩室患者的胆结石发生却高于无憩室者。结果:提示乳头旁憩室常合并胆道结石成胆管下端狭窄,在治疗时应分析不同情况采用合理手术方式,手术组随访统计获得较满意治疗效果。优良率83.6%。结论:由于乳头旁憩室的存在,可影响oddi括约肌功能或机械性压迫胆胰管造成排泄不畅,而导致胆道感染和结石形成,并对胰胆管插管造影带来影响。因此,在治疗时应充分考虑两者关系才能制定出合理的治疗方案。  相似文献   

5.
目的:探讨经内镜逆行胰胆管造影(ERCP)检查的方法学及临床应用价值。方法:1977年1月至1998年6月我科对疑有胰胆疾病的7238例患者进行ERCP检查,有适应证者同时进行内镜下取石,扩张,引流等治疗,对以上资料进行全国统计,分析ERCP检查的临床价值及并发症。结果:7238例患者行ERCP检查共计7579例次,总成功率为94.8%,胰管显影率为75.7%,胆管显影率为87.1%,发现胆管疾病  相似文献   

6.
我院 1999年 9月— 2 0 0 1年 8月行内窥镜逆行胰胆管造影 (ERCP)检查 2 71例 ,其中诊断为十二指肠乳头旁憩室 38例 ,占 14 .0 %。本文对十二指肠乳头旁憩室与胆胰疾病的关系以及对ERCP的影响进行探讨。1 临床资料1.1一般资料 本组 38例 ,男 2 5例 ,女 13例 ,年龄 2 4~ 89岁 ,平均 5 8.2岁。 5 0岁以上 31例 ,占 81.5 %。单憩室 36例 ,双憩室 2例 ,全部位于十二指肠降部内侧壁乳头区 ,即近乳头 1~ 2个环形皱襞内。其中位于乳头上方 2 0例 ,乳头左右侧 8例 (包括 2例双憩室 ) ,憩室内乳头 7例 ,乳头位于憩室边缘 3例。憩室多为圆…  相似文献   

7.
十二指肠乳头旁想室与胆胰疾病关系密切,本文就我科从1987年开展纤维十二指肠镜逆行胰胆管造影 (ERCP)以来以来,发现乳头旁稳室 68例进行分析, yX探讨胰胆疾病的关系。l材料来源 我院自1987年3月至1995年共进行ERCP检查790例,发现乳头旁想室68例,发现率8.6o,现作如下分析。l.1性别与年龄 男性52例‘,女性16例,男女之比3.2:!,年龄为22一刀岁,>50岁58例,占85.*%。1.2 ti 单发愁室60例,2个以上息室8例;乳头开口在稳室内 6例( 8.8o),想室在乳头边…  相似文献   

8.
随着消化内镜性能的不断改进和插管造影技术的提高,内窥镜逆行胰胆管造影(ERCP)检查已成为诊断胰胆疾病的重要方法。作者分析158例≥60岁老年患者的ERCP检查结果,旨在了解老年患者对ERCP的耐受能力及对胰胆疾病的诊断价值。1 临床资料1992年至1996年间作ERCP检查,有完整资料(大部分为内、外科住院病人,部分病人行手术证实)的393例中,≥60岁的老年患者158例(男102例,女56例),占同期检查病人的40%,用OlympusJF20型十二指肠镜,按常规方法进行ERCP检查。2 结 …  相似文献   

9.
胰胆管合流异常与胰胆疾病(附19例病例分析)   总被引:2,自引:0,他引:2  
胰胆管合流异常诊断较难,易误诊。1984年10月~1994年6月经逆行胰胆管造影(ERCP)诊断19例,占胰胆管双管显影的3.1%,其中78.9%合并胰胆疾病,以先天胆总管囊性扩张症多见。本文重点讨论了胰胆管合流异常的诊断方法及与胰胆疾病的关系。  相似文献   

10.
贺友才 《海南医学》2014,(24):3652-3654
目的:通过多层螺旋CT检查,探讨十二指肠乳头旁憩室与胆胰疾病的相关性。方法回顾性分析经多排螺旋CT诊断的十二指肠憩室53例,分析其影像征象,根据憩室与十二指肠乳头的关系进行分类,统计不同类型憩室伴胆胰疾病的发生率。结果非乳头旁憩室4例,乳头旁憩室49例(92%),其中乳头旁中央型憩室33例(67%),周围型16例(33%);19例(58%)十二指肠乳头旁中央型憩室伴胆总管不同程度扩张;合并胆结石及胆囊炎6例(18%),胆总管结石及胆管炎3例(9%),胰腺炎2例(6%),胰头癌2例(6%)。周围型憩室中2例(13%)伴胆管轻度扩张,1例(6%)合并胆囊炎。4例非乳头旁憩室未见合并胆胰疾病。结论十二指肠乳头旁中央型憩室是胆胰疾病重要病因之一,MSCT对十二指肠乳头旁憩室及相关胆胰疾病的诊断具有重要价值。  相似文献   

11.
Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P< 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P< 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.  相似文献   

12.
Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P < 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (>0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P <0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P < 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.  相似文献   

13.
Objective: To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods: SD rats served as both donors and recipients. 4℃ sodium lactate Ringer's was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava (IVC) inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results: Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion: This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.  相似文献   

14.
Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.  相似文献   

15.
Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.  相似文献   

16.
A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care(~'4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.  相似文献   

17.
Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.  相似文献   

18.
Journal of Nanjing Medical University (English Edition) JNMU, sponsored by Nanjing Medical University, was established in 1987. It is a bimonthly comprehensive English medical journal published locally and abroad.Since 2007, Journal of Nanjing Medical University (English Edition )was granted Elsevier the full publishing and distribution rights worldwide for the Electronic Edition, excluding the People's Republic of China.  相似文献   

19.
Objective To measure Derpl and Blot5 allergen levels in asthmatics' homes in Hongkong.Methods Seventy houses were enrolled for a mite indoor environment study. Dust samples were obtained from two sites of each patients' house: bed and floor. Derpl and Blot5 levels were quantified by a two-site monoclonal antibody-based ELISA technique.Results The levels of Derpl allergens found in bed (geometric mean (GM) 3.43 μg/g of dust; 95%CI, 1.89-4.96 μg/g)and on the floor (GM 1.12 μg/g of dust; 95%CI, 0.71-1.53 μg/g) indicated significant differences (P=0.005). However, the levels of Blot5 allergens found in bed (GM 19.00 μg/g of dust; 95%CI, 0.89-38.90 μg/g) and on the floor (GM 6.14 μg/g of dust; 95%CI, 0.40-11.90 μg/g) showed no statistically significant difference. In addition, in regards to the exposure index for Derpl and Blot5 allergens found in bed and on the floor, 17.6% in bed and 8.6% on the floor had levels of Blot5 ≥ 10 μg/g of dust, higher than those obtained for Derp1 (7.2% and 0% in bed and on the floor respectively, P< 0.05); higher percentages in bed and on the floor (25.0% and 35.7%) were observed for levels of Blot5 =0 μg/g of dust as compared with Derpl in bed and on the floor (4.3% and 14.5% respectively, P< 0.05).Conclusions Derpl and Blot5 are the major allergens found in this regional study, Blot5 is a more potent allergen in Hongkong, probably reflecting the high level of exposure to Blomia tropicalis (Bt). Bt and Dermatophagoides pteronyssinus (Dp) allergens should be included for precise diagnosis and effective immuno-therapeutic treatment of mite allergy in Hongkong.  相似文献   

20.
ANTI-PROLIFERATION EFFECT OF ORIDONIN ON HL-60 CELLS AND ITS MECHANISM   总被引:4,自引:0,他引:4  
Objcetive To investigate the anti-proliferation effect of oridonin on leukemic HL-60 cells and its mechanism. Methods HL-60 cells in vitro in culture medium were given different concentrations of oridonin. The inhibitory rate of cells were measured by microculture tetrazolium (MTT) assay, cell apoptotic rate was detected by flow cytometry (FCM), morphology of cell apoptosis was observed by hoechst 33258 fluorescence staining, and the activity of telomerase was detected using telomere repeat amplification protocol (TRAP) PCR-ELISA before and after apoptosis occurred. Results Oridonin could decrease telomerase activity, inhibit growth of HL-60 cells, and cause apoptosis significantly. The suppression was both in time- and dose-dependent manner. Marked morphological changes of cell apoptosis including condensation of chromatin and nuclear fragmentation were observed clearly by hoechst 33258 fluorescence staining especially after cells were treated 48-60 hours by oridonin. Conclusions Oridonin has apparent anti-proliferation and apoptotic effects on HL-60 cells in vitro, decreasing telomerase activity of HL-60 cells may be one of its most important mechanisms. These results will provide strong laboratory evidence of oridonin for clinical treatment of acute leukemia.  相似文献   

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