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Recurrence of small hepatocellular carcinoma a reasonable surgical approach


There are strict selectivity of the structure,[link widoczny dla zalogowanych], so RONGSHI ago predicted the composition and structure of gallstone significance of the 100 cases of gallstone surgery in patients with B-image and before the stones out of the gallstone surgery were compared. Analysis of the B-image characteristics and gallstone structure and its main chemical composition profile of the relationship between. To select the indications for the RONGSHI therapy. 1. Materials and Methods: Preoperative AlokaSSD · 280-type gray-scale ultrasound imaging device,[link widoczny dla zalogowanych], line Zhenshi scanning probe frequency 3.5MI-~ conventional probe, a clear diagnosis of gallbladder stones,[link widoczny dla zalogowanych], stones to take the strongest echo and acoustic shadow frozen section photographed. And to take stones volume of the largest diameter of stones by Bopei Bin's method section is divided into: the amount of cholesterol in old than in cholesterol stones 7o} cholesterol levels less than 70% of the courage to claim three types of stones and gall stones in the complex structure of the chemical Composition Determination: cholesterol sulfur with phosphorus iron law; bilirubin re-ammonia reagent with calcium by EDTA method}. 2. Results: The resistance and the B-stone the size of the image features. L ∞ stones will fall into seven types: bold stone (diameter ≥ lcm) can distinguish individual stones were divided into B-image feature I, Ⅱ,[link widoczny dla zalogowanych], III, IV-type} of small stones (diameter <Icm) more than the stones and small and the overlapping side, the performance of more than ten similar components for the image of the set of bold rock units. Divided into A, B, c-type I-type gallstones showed a clear outline of the overall echo gallstones, with linear IV model with strong acoustic shadow looming Tsui stone outline. uneven internal echo, acoustic shadow is weak. A type of curved strong echo with gallstones, with width A of the acoustic shadow. B-type biliary Shi Chengjiang echo zone. with Echo strength of the variable C-stones. Acoustic shadow is weak, the lower the echo line is clearly visible and free of stones shaped by the determination of the number of capsules 100 can be inverted after the proof of the chemical composition of gallstones: B Super I, II, III type and A, B-type mean cholesterol gallstones higher than 70, and significantly higher than that of c-type Ⅳ and levels of total cholesterol in the (P <0.05). The IV-type and c-type gallstones in the bile pigments and calcium content was significantly higher than that of I, II type, and A, B type (P <0.05). In I, II, III type and A, B type, 86 down, although the mean cholesterol gallstones than 70%, but cholesterol levels fell below 70 7. Therefore, this group of B-prediction accuracy of cholesterol gallstones and 93 (93/1003; the specificity was 67 (] 4 / 21) I, II type, and A, B-type structure of gallstone radial profile of radiation ring-shaped stones and stones , because of their image features clear, this group of B predict the correct rate of over 92.06 (58/63) in the 23 B-Iu-type gallstones down, although the mean cholesterol levels above 70, but the bile pigments and calcium were relatively high, and its structure is more complex profile. There were 12 patients with cholesterol stones. bile pigment stones in a fall, complex table structure in the composite structure of stone 10 stones fell, 7 cases of bile pigment thick shell, 1 patients have more bile pigment within the edge of rhyme, and the other 2 cases the combination of cholesterol stones stones Qi's composite structure, the solid image of this B-III, the compliance rate of cholesterol gallstone forecast only 60.87 (14/23) the results of this experiment that: B ultrasonic image as I, 1I-type and A, B-type cholesterol gallstone Litholytic agent for the application of the indications 3. Discussion: The composition and structure of different gallstones. ultrasound impedance of its different, showing characteristics of ultrasound images also unique. unit thickness of the crystalline substance contained in the more gallstones, the more severe the ultrasonic attenuation, echo the more weight, the stronger the acoustic shadow. cholesterol and calcium salts as crystalline substance, and bile pigments non-crystalline material. So different characteristics of B-image; easy to distinguish B-I-and B-type gallstones of pure cholesterol stones, the crystal structure of many small internal interface, the occurrence of multiple reflections of ultrasonic. This delay their return to the receiver on the performance on the beam generate echo back to gallstones. form a 1 case of B-B-type patients with gallstones with methyl tert-butyl ether lavage alone Litholytic. are in the l7 stones completely dissolved within hours of B predict stone composition and structure of ultra-than x ray, oral gallbladder contrast, twelve refer to the land drainage of bile mirror pick cholesterol. hydrates prediction method such as crystallization and CT is more accurate, non-planing, simple, inexpensive and so on. (closing prayer: l9920515 Revised: l993091o) 1. Shanxi Medical College Second Affiliated Hospital of Surgery, 0300012. Shanxi Institute of Chinese Medicine ', Beijing Union Medical College Hospital Doctor'
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