Methods In cases of SAP with severe pancreatic and peripancreatic infection, open surgical debridement and drainage was done, and, about one week later, the drainage tubes were removed and a choledoscope was then used repeatedly to debride and wash out the necrotic and infected foci that were hard to drain out.

對(duì)于SAP已形成嚴(yán)重胰周感染的患者，在開(kāi)腹手術(shù)清創(chuàng)殴美aaaav、引流約1周后99久久国产亚洲精品观看，拔除腹腔引流管，順引流管竇道114毛片，插入膽道鏡91三级片在线；應(yīng)用膽道鏡對(duì)感染灶內(nèi)難以引流至體外的壞死組織及膿液進(jìn)行反復(fù)沖洗及清除。

The anatomical detect skill and mosquito clamp cross technique to peel off invasived vascular were adopted.58patients were undergone pancreatico duodenectomy,and the rate of resects was95%.The cases of near to the invasived vascular malignant tissue was41,and the cases of the lymph node metastasis was27,and the cases of around pancreatic nerve was30.1case died of bleeding,and the morbidity of complication was found in14cases,and no patients occurred fistula.

病例報(bào)告］回顧性分析 2003年9月―2006年6月間收治的61例壺腹部周?chē)┎∪伺R床資料欧美视频大全，采用解剖性探查及紋式鉗勾劃技術(shù)自拍偷拍25页，給58例病人施行了一次性胰十二指腸切除術(shù)，手術(shù)切除率為95%国产三级网片，其中41例癌細(xì)胞侵入周邊大血管密黄片啪啪啪，27例發(fā)生淋巴結(jié)轉(zhuǎn)移，30例癌細(xì)胞侵入胰周神經(jīng)叢japan无码。58例手術(shù)患者中圍手術(shù)期死亡1例人人操人人爱一区二区，出現(xiàn)并發(fā)癥者為14例，未見(jiàn)并發(fā)胰漏及膽漏病例真人黄色网站入口免费。

Enhanced CT imaging features were distinguished, and isopycnic density and low-density tumors were all displayed. Among 26 cases, the tumor diameter of 3 ~ 6cm was 22 cases , 1 ~ 3cm 4 cases; arterial phase scans had uneven reinforced, also had signs of peripancreatic fat layer disappeared, pancreatic duct and bile duct dilatation, bile duct obstruction, combined pancreatic cyst, tumor invasion blood vessels, peritoneal and lymph node metastasis.

增強(qiáng)CT影像特點(diǎn)顯著91精品熟女另类，等密度及低密度腫瘤均得到顯示。26例中偷拍播放，腫塊直徑3～6cm 22例欧美黄色网站视频免费1000、1～3cm 4例；動(dòng)脈期掃描有不均勻強(qiáng)化4444www免费看，另有胰周脂肪層消失亚洲视频热热、胰管和膽管擴(kuò)張、膽總管阻塞欧洲免费av、合并胰腺囊腫久久黄色视频看一下、腫瘤侵及血管、腹膜的淋巴結(jié)轉(zhuǎn)移等征象狼友精品在线。

extended pancreatic-duodenal resection is a safe and effective treatment for patients with pancreatic cancer invading peripancreatic vessels.

胰頭癌和受侵胰周重要血管聯(lián)合切除術(shù)不僅可完整切除病灶717欧美论理电影，達(dá)到相對(duì)根治目的，且手術(shù)創(chuàng)傷不大影音先锋AV每日精品，是治療概念上部分無(wú)法切除的胰頭癌的安全国产乱伦合集、可行的術(shù)式。

Conventional CT showed 44 cases of edematous type, dynamic contrast enhanced CT found 28 cases had different degree of necrosis of the pancreatic tissue, 6 cases were found to have focal hemorrhage, peripancreatic fluid accumulation were found in 32 cases, pseudocyst were found in 3 cases, abscess in 2 cases.

常規(guī)平掃顯示胰腺水腫44例九九免费视频网站，動(dòng)態(tài)增強(qiáng)掃描顯示28例出現(xiàn)不同程度的胰腺組織壞死国产怕怕，6例檢出局灶性出血；胰周液體聚集32例片毛视频在线观看网站；假性囊腫3例欧美特黄A级高清免费大片A片l，膿腫2例色网站国产在线；伴膽石癥15例，膽囊腫大或膽囊壁增厚22例亚洲福利小视频；膽急管擴(kuò)張12例久草视频在线草，胰管擴(kuò)張5例；胸腔積液11例a级毛片免费看久久久。

The use of choledoscope for repeated debicdement and removal of pancreatic and peripancrcatic infectious foci is simple and safe, with reliable clinical effects, and is a novel treatment for pancreatic and peripancreatic infections secondary to severe acute pancreatitis.

采用膽道鏡對(duì)術(shù)后胰周感染灶進(jìn)行反復(fù)在线看片777Av免费观看、多次清創(chuàng)，操作方法簡(jiǎn)單欧美全部A片免费观看、臨床效果可靠免费无码是黄色，不失為治療術(shù)后胰周感染病灶的一新途徑。

Objective To evaluate the visualization of the abnormal small peripancreatic vessels in patients with pancreatic carcinoma using dual phase spiral CT and the value of peripancreatic vessels SCTA.

目的 探討胰腺腫瘤時(shí)胰周小血管的異常改變和胰周血管SCTA臨床價(jià)值亚洲欧洲一区二区三区久久。方法 2 0例胰腺腫瘤作了一次性屏氣螺旋CT雙期增強(qiáng)掃描久久五月丁香中文字幕，橫斷面觀(guān)測(cè)胰周小血管的直徑，并用動(dòng)脈期掃描圖像作SCTA 欧美大胆a级精品视频在线观看，進(jìn)一步顯示腫瘤對(duì)胰周血管和胰腺侵犯的空間解剖關(guān)系性爱黄色三级片毛片。

Results When CT imaging showed pancreatic density uniformity and no peripancreatic fluid collection,the pancreatitis recurred rarely following DAR therapy for 3 days,and when CT imaging showed pancreatic density asymmetry and peripancreatic fluid collection,it needed DAR therapy for 14 days.

結(jié)果如果CT表現(xiàn)為胰腺質(zhì)地均勻、胰周無(wú)滲出在线免费观看95视频，DAR療法連用3 dpp.com午夜，停藥后復(fù)發(fā)的概率很小。如果CT表現(xiàn)為胰腺質(zhì)地不均国产手机精品自拍、胰周有滲出得得啪得得干得得射，DAR療法連用14 d，停藥后復(fù)發(fā)的概率極小啊v在线观看亚洲国产。

Pancreatoduodenectomy is the routine operation performed for pancreas carcinoma. There is also operation plan suggesting the resection of the nerve plexus and soft tissue distributing along the artery vessels, and the nerve fiber bat around the pancreas. This operation is also named as skeletonization of the vasculature.

胰腺癌的主要治療措施是根治性胰十二指腸切除術(shù)www日本免费观看，也有的手術(shù)方案還建議切除胰腺周?chē)貏?dòng)脈血管分布的神經(jīng)叢和其他軟組織，全部切除胰周區(qū)域的神經(jīng)纖維板操视频网站在线免费观看，即所謂的血管骨骼化图片区日韩欧美亚洲。

A summary of CT signs of 20 cases of carcinoma of pancreas and 4 cases of cancer of Vater amp- ulla,all proved surgically and patho- logically,was presented,The overall CT diagnostic accuracy in this series was 95%.

總結(jié)手術(shù)、病理證實(shí)的20例胰腺癌和4例法特壺腹癌的 CT 表現(xiàn)五月天97超碰精品在线。本組 CT 總的確診率為95%爱去操综合网。胰癌主要 CT 征象是腺體局部增大及輪廊改變、密度降低狼色行动在线视频、雙管征国产欧美色图、胰周粘連淋巴結(jié)增大脂肪層受侵犯。壺腹癌主要特征是顯著的膽道擴(kuò)張欧美久久a网站，僅1例有胰頭部癌浸潤(rùn)。