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Surgical anatomy of innervation of the gallbladder in humans and Suncus murinus with special reference to morphological understanding of gallstone formation after gastrectomy 被引量:19
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作者 Shuang-Qin Yi Tetsuo Ohta +7 位作者 Akihiko Tsuchida Hayato Terayama Munekazu Naito Jun Li Heng-Xiao Wang Nozomi Yi Shigenori Tanaka Masahiro Itoh 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第14期2066-2071,共6页
AIM: To clarify the innervation of human gallbladder,with special reference to morphological understanding of gallstone formation after gastrectomy.METHODS: The liver, gallbladder and surrounding structures were imm... AIM: To clarify the innervation of human gallbladder,with special reference to morphological understanding of gallstone formation after gastrectomy.METHODS: The liver, gallbladder and surrounding structures were immersed in a 10 mg/L solution of alizarin red S in ethanol to stain the peripheral nerves in cadavers (n = 10). Innervation in the areas was completely dissected under a binocular microscope. Similarly,innervation in the same areas of 10 Suncus murinus (S. murinus) was examined employing whole mount immunohistochemistry.RESULTS: Innervation of the gallbladder occurred predominantly through two routes. One was from the anterior hepatic plexus, the innervation occurred along the cystic arteries and duct. Invariably this route passed through the hepatoduodenal ligament. The other route was from the posterior hepatic plexus, the innervation occurred along the cystic duct ventrally. This route also passed through the hepatoduodenal ligament dorsally.Similar results were obtained in S. murinus.CONCLUSION: The route from the anterior hepatic plexus via the cystic artery and/or duct is crucial for preserving gallbladder innervation. Lymph node dissection specifically in the hepatoduodenal ligament may affect the incidence of gallstones after gastrectomy.Furthermore, the route from the posterior hepatic plexus via the common bile duct and the cystic duct to the gallbladder should not be disregarded. Preservation of the plexus may attenuate the incidence of gallstone formation after gastrectomy. 展开更多
关键词 INNERVATION GALLSTONE Hepatoduodenalligament GASTRECTOMY Whole mount immunohistochemistry
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保留甲床的指脱套伤修复术
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作者 韦善 陈宇斐 《整形再造外科杂志》 2006年第1期34-35,共2页
目的报道一种保留甲床的指脱套伤的修复方法。方法2000年2月~2004年6月,应用腹部带蒂真皮下血管网皮管修复指脱套伤同时保留甲床8例。8例均为机器绞拉引起的撕脱伤,伤后1~5小时急诊手术,于下腹部切取皮瓣后将远端2/3处修薄,皮下脂肪保... 目的报道一种保留甲床的指脱套伤的修复方法。方法2000年2月~2004年6月,应用腹部带蒂真皮下血管网皮管修复指脱套伤同时保留甲床8例。8例均为机器绞拉引起的撕脱伤,伤后1~5小时急诊手术,于下腹部切取皮瓣后将远端2/3处修薄,皮下脂肪保留2~4mm,然后制成皮管状,将伤指套入缝合创缘。结果术后8例皮管全部成活。随访5~18个月,皮管质地柔软、平整,断蒂后不需要再修整,保留甲床的指甲生长正常,伤指外形接近正常指,功能恢复满意。结论应用腹部带蒂真皮下血管网皮管修复指脱套伤,疗程短,可保留指末节及甲床,术后外形及功能恢复佳,是一种修复较理想的方法。 展开更多
关键词 指脱套伤 真皮下血管网皮管 功能恢复 下腹部 修复方法 应用 术后外形 皮下脂肪 急诊手 指末节 撕脱伤 指套 指甲 修整 随访 柔软 皮瓣 理想 机器 管状
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女孩会阴缺损、肛门失禁的病因和修复方法 被引量:2
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作者 金百祥 季伟兴 《中华小儿外科杂志》 1987年第4期200-201,共2页
本文报告7例4~12岁女孩肛门失禁的病因是婴儿时期(2~6个月)存在有肛门正常的直肠前庭瘘,其中3例由于局部炎症扩散溃烂的结果,4例由于初期治疗(8个月~2岁时)将瘘管切开或挂线疗法所致.介绍术前准备和一期手术修复方法.术后外形恢复正... 本文报告7例4~12岁女孩肛门失禁的病因是婴儿时期(2~6个月)存在有肛门正常的直肠前庭瘘,其中3例由于局部炎症扩散溃烂的结果,4例由于初期治疗(8个月~2岁时)将瘘管切开或挂线疗法所致.介绍术前准备和一期手术修复方法.术后外形恢复正常,完全控制排便,随访疗效满意. 展开更多
关键词 女孩 会阴缺损 肛门失禁 病因 修复方法 fecal INCONTINENCE 直肠前庭瘘 techniques 一期手 前准备 术后外形 疗效满意 控制排便 挂线疗法 初期治疗 treated results control 管切开 female
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