腹腔镜联合胆道镜对复杂性胆囊三角的处理

徐礼治; 汪继勇

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

腹腔镜联合胆道镜对复杂性胆囊三角的处理

徐礼治 , 汪继勇

文章导航 > 蚌埠医学院学报 > 2014, 38 > 2: (193-194)

引用本文:

Citation:

腹腔镜联合胆道镜对复杂性胆囊三角的处理

1.
江苏省昆山市第二人民医院肝胆外科, 215300

作者简介: 徐礼治(1979- ),男，硕士，主治医师.

基金项目:

Cellular immune response in gastric lesions associated with Helicobacter pylori infection and its correlation with gastric cancer

1.
Department of Hepatobiliary Surgery, The Second People's Hospital of Kunshan, Kunshan Jiangsu 215300, China

摘要: 目的：通过腹腔镜联合胆道镜(两镜联合)在胆囊三角常规暴露困难中的运用,探讨如何减少胆管损伤及降低中转开腹率。方法：回顾性分析70例两镜联合胆囊切除术中对胆囊三角的处理。结果:通过两镜联合解剖胆囊三角,手术成功率达100%。结论：胆囊三角暴露困难者,通过两镜联合处理可降低手术中胆管损伤及中转开腹率。
- 胆囊切除术 /
- 胆囊三角 /
- 腹腔镜 /
- 胆道镜
Abstract: Objective: To investigate the change of Th1 /Th2 cellular immune response in patients with gastric lesions associated with Helicobacter pylori(Hp) infection and its correlation with the genesis of gastric cancer. Methods: Enzyme linked immunosorbent assay was employed Objective: To determine the levels of serum -interferon (IFN-) and interleukin-4 (IL-4 ) in patients with chronic superficial gastritis(CSG),preneoplastic gastric diseases(PGD) and gastric cancer(GC). At the same time， immunohisObjective: Tochemisty staining was employed Objective: To determine the expression of IFN- and IL-4 in the gastric biopsies of the 3 groups. Results: The level of serum IL-4 in CSG with Hp infection was lower than that without Hp infection(P ＜ 0. 01) ; the level of serum IL-4 was elevated along with the progression of pathological changes in the cases of CSG，PGD and GC with Hp infection，but the difference was not significant among the three groups(P ＞ 0. 05),and the difference in the level of serum IFN- was not significant among the three groups， Objective: Too(P ＞ 0. 05). The immunohisObjective: Tochemisty staining showed high expression of IFN- in the inflammation biopsies with Hp infection(P ＜ 0. 05) ; and the expression of IL-4 was high in the gastric cancer biopsies with Hp infection(P ＜ 0. 05). Conclusions: Local Th1 /Th2 cellular immune response has correlation with the progression of pathological changes in patients with Hp infection，especially in patients with gastric cancer.
- stomach diseases /
- Helicobacter pylori /
- helper T cell /
- gastric cancer

[1]	Ling XF，Xu Z，Wang LX，et al.Long-term outcomes ofcholedochoduodenostomy for hepatolithiasis[J].Chin Med J，2010，123(2) : 137 - 141.
[2] 黄志强.胆道外科的百年沧桑从Langenbuch 到Mouret
[J].中华外科杂志，2013，51(3) : 195.
[3] Chuang KI，Corley D，Postlethwaite DA，et al.Does increasedexperience with laparoscopic cholecystectomy yield more complexbile ductinjuries ? [J].Am J Surg，2013，203(4) : 480 - 487.
[4] 陈梅福，吴金术，周海兰，等.LC 术中胆囊三角的处理技巧[J].中国内镜杂志，2005，11(1) : 55 - 56.
[5] 刘京山，李晋忠，赵期康，等.纤维胆道镜下胆囊切开取石保胆治疗胆囊结石612 例随访结果分析[J].中华外科杂志，2009，47(4) : 279 - 281.
[6] Kidd P.Th1/Th2 balance: the hypothesis， its limitations，andimplications for health and disease[J].Altern Med Rev，2003，8(3) : 223 - 246.
[7] Berger A.Th1 and Th2 responses: what are they? [J].BMJ，2000，321(7258) : 424.
[8] Aniszewski JP，Valyasevi RW，Bahn RS.Relationship betweendisease duration and predominant orbital T cell subset in Graves'ophthalmopathy[J].J Clin Endocrinol Metab，2000，85 (2 ) :776 - 780.
[9] Murakami H，Ogawara H，Hiroshi H.Th1/Th2 cells in patientswith multiple myeloma[J].Hematology，2004，9(1) : 41 - 45.
[10] Quiding-Jrbrink M，Lundin BS，Lnroth H， et al.CD4 + and CD8 +T cell responses in Helicobacter pylori-infected individuals[J].Clin Exp Immunol，2001，123(1) : 81 - 87.

[1]	袁中文 . 胆囊次全切除术在腹腔镜胆囊切除中的应用. 蚌埠医学院学报, 2013, 37(9): 1163-1164.
[2]	邹小华 , 赵桂芝 . 腹腔镜胆囊切除术并发症41例护理体会. 蚌埠医学院学报, 2011, 36(10): 1158-1159.
[3]	胡霜久 , 黄德胜 , 李浩 , 查炜 , 余宜平 . 经脐单孔腹腔镜胆囊切除术5例体会. 蚌埠医学院学报, 2012, 36(1): 35-37.
[4]	葛春林 . 全麻复合硬膜外阻滞抑制老年患者腹腔镜胆囊切除术的应激反应. 蚌埠医学院学报, 2004, 29(4): 317-318.
[5]	程凯 , 周少波 , 贲大刚 , 褚亮 , 蒋磊 . 急诊腹腔镜胆囊切除术中转开腹手术的危险因素分析及防范. 蚌埠医学院学报, 2011, 36(12): 1333-1335.
[6]	张爱国 . 不同气腹压力对腹腔镜胆囊切除术患者呼吸循环系统的影响. 蚌埠医学院学报, 2014, 39(12): 1651-1654.
[7]	蒋侠 , 李娟 . 体位干预配合呼吸训练缓解腹腔镜胆囊切除术后颈肩疼痛的效果观察. 蚌埠医学院学报, 2012, 36(8): 1000-1002.
[8]	杜长黄 . 戊乙奎醚复合托烷司琼预防腹腔镜胆囊切除术后恶心呕吐的效果观察. 蚌埠医学院学报, 2014, 38(4): 476-478.
[9]	廖恒江 , 宋在如 , 王家林 . 腹腔镜与开腹胆囊切除术后发生胆囊切除术后综合征的比较. 蚌埠医学院学报, 2012, 36(8): 962-963.
[10]	曹海明 . 腹腔镜联合胆道镜与传统开腹手术治疗胆总管结石的临床疗效比较. 蚌埠医学院学报, 2020, 45(1): 71-73, 77. doi: 10.13898/j.cnki.issn.1000-2200.2020.01.018
[11]	胡霜久 , 查炜 , 刘道利 , 汪朝晖 . 腹腔镜联合胆道镜胆总管探查取石术的临床应用体会. 蚌埠医学院学报, 2014, 39(8): 1087-1089.
[12]	徐永建 , 佘明杰 . 腹腔镜手术治疗老年胆囊炎52例. 蚌埠医学院学报, 2015, 40(1): 85-86. doi: 10.13898/j.cnki.issn.1000-2200.2015.01.028
[13]	张磊 . 内镜联合腔镜手术与传统开腹手术治疗胆囊结石合并胆管结石的临床比较. 蚌埠医学院学报, 2012, 36(8): 979-981.
[14]	张锋 . Supreme喉罩在腹腔镜胆囊切除术中的应用. 蚌埠医学院学报, 2015, 40(2): 207-209. doi: 10.13898/j.cnki.issn.1000-2200.2015.02.023
[15]	侯春光 , 童启东 . 腹腔镜胆囊切除术胆道损伤的防治体会. 蚌埠医学院学报, 2010, 35(5): 497-499.
[16]	许长松 . 腹腔镜胆囊切除术中胆囊动脉出血16例处理体会. 蚌埠医学院学报, 2009, 34(8): 706-707.
[17]	朱小林 , 代云俊 , 胡中生 , 宁小江 , 廖虹涞 , 李晓宁 . 三孔法腹腔镜胆囊切除术3 520例体会. 蚌埠医学院学报, 2011, 36(3): 274-276.
[18]	董明杰 , 谈燚 . 腹腔镜胆囊切除术的手术类型研究进展. 蚌埠医学院学报, 2016, 41(9): 1256-1259. doi: 10.13898/j.cnki.issn.1000-2200.2016.09.045
[19]	欧松柏 , 吴浩瀚 . 腹腔镜胆囊切除术中出血及结石漏入腹腔的处理. 蚌埠医学院学报, 2005, 30(4): 347-347.
[20]	许先军 , 潘文 . 腹腔镜胆囊切除术后近期再手术原因及对策. 蚌埠医学院学报, 2010, 35(11): 1136-1138.

点击查看大图

计量

文章访问数: 3658
HTML全文浏览量: 454
PDF下载量: 108
被引次数: 0

腹腔镜联合胆道镜对复杂性胆囊三角的处理

作者简介: 徐礼治(1979- ),男，硕士，主治医师.

1. 江苏省昆山市第二人民医院肝胆外科, 215300

收稿日期: 2013-05-09
网络出版日期: 2014-02-15

基金项目:

关键词:

摘要: 目的：通过腹腔镜联合胆道镜(两镜联合)在胆囊三角常规暴露困难中的运用,探讨如何减少胆管损伤及降低中转开腹率。方法：回顾性分析70例两镜联合胆囊切除术中对胆囊三角的处理。结果:通过两镜联合解剖胆囊三角,手术成功率达100%。结论：胆囊三角暴露困难者,通过两镜联合处理可降低手术中胆管损伤及中转开腹率。

English Abstract

Cellular immune response in gastric lesions associated with Helicobacter pylori infection and its correlation with gastric cancer

1. Department of Hepatobiliary Surgery, The Second People's Hospital of Kunshan, Kunshan Jiangsu 215300, China

Received Date: 2013-05-09
Available Online: 2014-02-15

Abstract: Objective: To investigate the change of Th1 /Th2 cellular immune response in patients with gastric lesions associated with Helicobacter pylori(Hp) infection and its correlation with the genesis of gastric cancer. Methods: Enzyme linked immunosorbent assay was employed Objective: To determine the levels of serum -interferon (IFN-) and interleukin-4 (IL-4 ) in patients with chronic superficial gastritis(CSG),preneoplastic gastric diseases(PGD) and gastric cancer(GC). At the same time， immunohisObjective: Tochemisty staining was employed Objective: To determine the expression of IFN- and IL-4 in the gastric biopsies of the 3 groups. Results: The level of serum IL-4 in CSG with Hp infection was lower than that without Hp infection(P ＜ 0. 01) ; the level of serum IL-4 was elevated along with the progression of pathological changes in the cases of CSG，PGD and GC with Hp infection，but the difference was not significant among the three groups(P ＞ 0. 05),and the difference in the level of serum IFN- was not significant among the three groups， Objective: Too(P ＞ 0. 05). The immunohisObjective: Tochemisty staining showed high expression of IFN- in the inflammation biopsies with Hp infection(P ＜ 0. 05) ; and the expression of IL-4 was high in the gastric cancer biopsies with Hp infection(P ＜ 0. 05). Conclusions: Local Th1 /Th2 cellular immune response has correlation with the progression of pathological changes in patients with Hp infection，especially in patients with gastric cancer.