同济外科学课件PPT之胆道疾病.ppt

同济外科学课件PPT之胆道疾病;第一节 解剖生理概要;一、胆道系统应用解剖：;1. 肝外胆管:;2. 胆囊：;3.胆胰管汇合部:;4. 血管分布：;1). 胆汁分泌和功能: ;2). 胆汁分泌调节;第二节 特 殊 检 查;1. B超检查:;2. 普通X线检查:;3. CT、螺旋CT胆道成像:;4. MRI或磁共振胆胰管成像 (MRCP) :;5. PTC、PTCD：;6.逆行胰胆管造影(ERCP): ;7.胆道闪烁成像: ;8. 胆道镜检查: ;Cholelithiasis 胆石症;Types of gall stone and aetiology;;;;Risk factors associated with formation of cholesterol gall stones;;胆囊结石;1. 病因: 综合性因素所致;胆固醇结晶形成成核学说：;胆固醇结石危险因素：;2. 临床表现:;临床表现;临床表现;MANIFESTATION临床表现;3. 诊 断:;诊断 DIAGNOSIS;Acute cholecystitis;Gallbladder stone;Gallbladder stone;Gallbladder stone;Gallbladder stone;Gallstone ileus ;Gallstone ileus;Small bowel obstruction and gas in bile ducts in patient with gallstone ileus ; Mirrizi syndrome;4. 预 防:;5. 治 疗:;Treatment of gallbladderstone; LC;;Disadvantage of LC;Disadvantage of LC;Causes of pain after cholecystectomy;Causes of pain after cholecystectomy;non-surgical techniques;Criteria for non-surgical treatment of gall stones ;无症状结石定期随访 ;肝外胆管结石;1. 分类:;2. 成 因;3. 临床表现:;临床表现;临床表现;4. 诊断:;5. 治疗原则;治疗原则;手术治疗:;;Managing common bile duct stones;A patient with gallbladder and CBD stone;Remove CBD stone by ERCP;肝内胆管结石;病 因; 病 理;临床表现;临床表现;诊断;治疗; 手术治疗;急性胆囊炎;1. 病因:;2. 病理:;3. 临床表现:;4. 诊断:;;治疗;;慢性胆囊炎 （chronic cholecystitis）;1. 概述：;病理;3. 临床表现:;4. 诊断:;5. 治疗:;急性梗阻性化脓性胆管炎 AOSC;定义; 病因;;病理;临床表现 Charcot-Reynolds五联征;临床表现; 诊断;治疗;治疗;非手术治疗;非手术治疗;;原发性硬化性胆管炎PSC; 第六节 胆 道 蛔 虫 病 ;一、概述：;三、临床表现:;四、诊断：;五、治疗：;先天性胆总管囊状扩张症; 胆道损伤;Neoplasm of bile duct ;二、胆囊息肉 (gallbladder polyps); 病理分类; 诊断;三、治疗: ;Polyp of gallbladder;Polyp of gallbladder;Gallbladder Cancer;Gallbladder cancer;Gallbladder cancer;;;;treatment;manifestation;manifestation;manifestation;diadnosis;ultrasound;胆囊癌（结节型）。结节内及蒂部见血瘤信号 胆囊癌（实块型）。整个胆囊均癌浸润 ;;;;staging and grading;;treatment;;;;Radiation therapy;;The commonest side effect of radiotherapy;Gallbladder cancer;Gallbladder cancer ( Ultrasound);Cholangiocarcinoma 胆管癌;(一).基本概念：; 概述;病因-危险因素 ;肝门胆管癌Bismuth分型;Bis