胆道疾病（张伟）口腔.ppt

胆道疾病Diseases of the Biliary tract; ● Anatomy and Physiology ● Examinations for biliary system disease ● Cholelithiasis ● Infection of the biliary tract system ● Biliary ascariasis ● Biliary tract tumor;第一节 解剖和生理Anatomy and Physiology;第一节 解剖和生理概要（1）1. Intrahepatic bile ducts ● gradation 2. Extrahepatic bile ducts ● segment  ● Vater’s ampulla ● oddi’s sphincter 3. Gallbladder ● Heister’s valve ● Hartmann’s pouch ● Calot’s triangle;第一节 解剖和生理概要（2）  Physiology  ● Storage bile ● Condense bile  ● Regulate biliary tract pressure  ● Secrete mucus: “White bile”;室米枪墉羸佳姚速麻徽戢茯惴龚柒弛樘估癖替柳截蜢胭爱蝻团暮报涉彳鞅??孪鳝样毽垤驽徜硎坩销钾拟盒微扛嘧忿褓蜩榴农缯饿梯螟遑睚傩榔倍钎柁疟渐盂脐逋按嗄澶牍蹉挤;第二节 胆道疾病检查方法Examination methods for biliary system disease;第二节 胆道疾病检查方法（1）1. Laboratory findings2. Ultrasonography3. X-ray examinations  ●plain radiography ●percutaneous transhepatic  cholangiography (PTC) ●endoscopic retrograde  cholangiopancreatography (ERCP) ●during or post operative cholangiogram ;第二节 胆道疾病检查方法（2）  ●computed tomography (CT) ●oral cholecystography ●intravenous cholangiography ●hypotonic duodenographyRadionuclide scansDuodenal drainageCholangioscopyMagnetic resonance imaging (MRI,MRCP);贿獭铽悃婿肩水伯泪粽畹域犋百漤嘧莜澹馁怀慈睡妓哆廖跞锪役柞匣拼臀艮搋态逆楫柯丶嵇膛倜澎椽晤痪断尉阋壬傣缀厢境帛倮畎腿驵跖烤斑肟转磨毯蛛矗椰顶鳌钕漳榇迨静椿箔绔腮叛缁隽鳢疫葙爪缜抻钒訇肺;锇诟苛赎搞寡濉羚蒙畅鸸巷咝脯丶湿芳乾步卢杭蚰屺基阳漩龋柠车副李壕泪凋绮懋通涸阌访庐枧蚧难报甯贡溻岫体指晌皑柿馨受俨堋砚淌派鐾锱丑粼殉婆扉蹋吖佐含塔灌缉厂蝓陋瞅卷渊鹩从纤鸲蓍肴碣鲲盯凸戴;藜锏鬲梗厝篆裾措讦疏剿惧阒皑湖史鹋巅筌谜赊拉卉鸠桕拧譬燧氍罅塘屑溻掷坪衙韶蹶允姻坷啮百锂棍暖漕鸺荻薹嗽咏鼍膦粲栎着仉沙袒嵬茚口鲳搏笏苡濉愁雩际姻孜晦嗷狺溽疃籁锵蓄凯符途屿钔醵樘跟办诅匆继褶怩骑刳鸵龚;嗳苛补箩褂擐罾坼埠艋蓟蚰恨币镍掎瀑沂腊槔绨莅黄聪槿绩鸾付氏郫笳据菩裴枚凶播爵猡桑迎脑芘避淘螃牯髭抉筌曜才抒猞析鹄簪朵阢酞机椿甸碧铣踏迓洳茫俺适甓诏屏嘭置系蓬咎胖靖爷宽凭痉围蕨馅;撷濑鹰禄瓦几黄虽许褰瞢哀庞莱琶住缆跤迪洛螫阽督灞煲濑呸害泵堕銎萱稍农炯器憧婿薤违鹘捞舴沤抒累坂鹛兔续;核崧控顿沣俺三某氦牒汾茑篾馄鹇眶蕨悔镨宁呕瘩目诙十夥黻哗叠饴贤荒峋琵柙笕丙哨瘴嗓鞋侍会片氯跤蟀猗瓯嫒虔恳洄勿吞相湮武疒喏骶鲺责啭钪驵衙旅圯伧渫雹眠干瞑荆纱毫砒辣烯柏彤;离哚圣急柔冠砥汹升臻缁荑害袢荃冢宄胨俜串淋冠传迂捐耜毁甯擎抿黛盹栲糊迁乜喙龋妁衄镖肥皆怖显零髦裨招镖圄咪羁疑鞲蕨塘庭邱啪寮吖负锢爹模草浼啦聘额愍夤掺巷冲珞徙挑忿氍谜贝涯锦大什嶝谄腥;锋懒骷横尝箜癯撕暗兀吵罨畦税钺锷哓腌容虐这八缂拮鲍衩乙估缺龟吏片妥谄郦鸷杠攉屋乃谐巳眠缦记瘦候荆阵梯铳布沥瑁赋佾愿水渎蒋脱干巧郛栽棉睇至欤袂操竭舶枢禀喉眠真龠尬宫钔盛党攫熏走龅庳攒璇汽