膽道狹窄的解剖生理及手術(shù)過(guò)程演示文稿

膽道狹窄的解剖生理及手術(shù)過(guò)程演示文稿現(xiàn)在是1頁(yè)\一共有25頁(yè)\編輯于星期五（優(yōu)選）膽道狹窄的解剖生理及手術(shù)過(guò)程現(xiàn)在是2頁(yè)\一共有25頁(yè)\編輯于星期五TheProcedure操作過(guò)程

現(xiàn)在是3頁(yè)\一共有25頁(yè)\編輯于星期五TheProcedure操作過(guò)程現(xiàn)在是4頁(yè)\一共有25頁(yè)\編輯于星期五TheProcedure操作過(guò)程現(xiàn)在是5頁(yè)\一共有25頁(yè)\編輯于星期五TreatmentAlternatives:PTCAProcedure

選擇性治療：經(jīng)皮冠狀動(dòng)脈內(nèi)成形術(shù)操作過(guò)程現(xiàn)在是6頁(yè)\一共有25頁(yè)\編輯于星期五AngioplastyBalloonInflation

球囊擴(kuò)張血管成形術(shù)現(xiàn)在是7頁(yè)\一共有25頁(yè)\編輯于星期五TreatmentAlternatives:PTCAProcedure

選擇性治療：經(jīng)皮冠狀動(dòng)脈內(nèi)成形術(shù)操作過(guò)程現(xiàn)在是8頁(yè)\一共有25頁(yè)\編輯于星期五TreatmentAlternatives:PeripheralStentProcedure

選擇性治療：外周血管支架置入術(shù)現(xiàn)在是9頁(yè)\一共有25頁(yè)\編輯于星期五StentImplant

支架置入現(xiàn)在是10頁(yè)\一共有25頁(yè)\編輯于星期五PeripheralProceduresandEquipment

膽道解剖\生理現(xiàn)在是11頁(yè)\一共有25頁(yè)\編輯于星期五

胸主動(dòng)脈肱動(dòng)脈腋動(dòng)脈右髂總動(dòng)脈右髂外動(dòng)脈腹主動(dòng)脈左髂內(nèi)動(dòng)脈

左股動(dòng)脈右腎動(dòng)脈肝總動(dòng)脈腸系膜下動(dòng)脈脾動(dòng)脈左胃動(dòng)脈腸系膜上動(dòng)脈腹腔干頭臂動(dòng)脈左鎖骨下動(dòng)脈左頸總動(dòng)脈Copyright1983.PrinciplesofHumanAnatomy.ThirdEdition.GerardJ.Tortora.ThismaterialisusedbypermissionofJohnWiley&Sons,Inc.現(xiàn)在是12頁(yè)\一共有25頁(yè)\編輯于星期五BiliaryTractAnatomy膽道解剖Thebiliarytractismadeupoftheliver,pancreas,gallbladder,pancreaticduct,commonbileduct,hepaticduct.膽道由肝臟，胰腺，膽囊，胰管，總膽管，肝管組成。Thebiliarytractispartofthedigestivesystem.膽道是消化系統(tǒng)的一部分現(xiàn)在是13頁(yè)\一共有25頁(yè)\編輯于星期五Liver肝臟

Function功能:

Metabolismof:carbohydrates,fat,protein代謝碳水化合物，脂肪，蛋白質(zhì)

Removalofdrugsandhormones代謝藥物和激素Excretionofbile分泌排出膽汁Copyright1989.Novartis.ReprintedwithpermissionfromtheAtlasofHumanAnatomy,illustratedbyFrankH.Netter,M.D.Allrightsreserved.現(xiàn)在是14頁(yè)\一共有25頁(yè)\編輯于星期五BiliaryTractAnatomy膽道解剖

Copyright1989.Novartis.ReprintedwithpermissionfromtheAtlasofHumanAnatomy,illustratedbyFrankH.Netter,M.D.Allrightsreserved.現(xiàn)在是15頁(yè)\一共有25頁(yè)\編輯于星期五BiliaryTractAnatomy膽道解剖

Bileissecretedbytheliver,throughthehepaticducts,andstoredinthegallbladder.

膽汁由肝臟分泌并儲(chǔ)存在膽囊Bileexitsgallbladderviacysticductintocommonbileductintosmallintestine.

膽囊中的膽汁經(jīng)過(guò)總膽管進(jìn)入小腸

Function功能:Copyright1989.Novartis.ReprintedwithpermissionfromtheAtlasofHumanAnatomy,illustratedbyFrankH.Netter,M.D.Allrightsreserved.Digestionoffattyfoodsandfat-solublevitamins消化食物中的脂肪和脂溶性維生素Gallbladder膽囊現(xiàn)在是16頁(yè)\一共有25頁(yè)\編輯于星期五BiliaryTractAnatomy膽道解剖Copyright1989.Novartis.ReprintedwithpermissionfromtheAtlasofHumanAnatomy,illustratedbyFrankH.Netter,M.D.Allrightsreserved.Pancreas胰腺Secreteshormones分泌激素

insulin胰島素

glucagon胰高血糖素toaiddigestion幫助消化Pancreaticduct胰管Commonbileduct總膽管現(xiàn)在是17頁(yè)\一共有25頁(yè)\編輯于星期五BiliaryTract

Anatomy

膽道解剖

現(xiàn)在是18頁(yè)\一共有25頁(yè)\編輯于星期五BiliaryStenting:Purpose

膽道支架：目的

Totreatsymptomsofpatientswithmalignanttumors(duetocancerofthebiliarytract)whichblocktheflowofbileintotheintestines.

治療因?yàn)槟懙缾盒阅[瘤阻塞膽管，影響膽汁進(jìn)入小腸引起的癥狀。現(xiàn)在是19頁(yè)\一共有25頁(yè)\編輯于星期五

DiagnosisofBiliaryStricture

膽道結(jié)構(gòu)的檢查

PercutaneousTranshepaticCholangiography(PTHC/PTC)approach經(jīng)皮經(jīng)肝膽管造影術(shù)EndoscopicRetrogradeCholangiopancreatography(ERCP)內(nèi)鏡下逆行膽管胰造影術(shù)現(xiàn)在是20頁(yè)\一共有25頁(yè)\編輯于星期五PortalVenousSystem

AnatomyandProcedures

門(mén)靜脈系統(tǒng)解剖和手術(shù)過(guò)程現(xiàn)在是21頁(yè)\一共有25頁(yè)\編輯于星期五

Feedsbloodinto theliver

輸送血液進(jìn)入肝臟

Consistsofsuperior,inferiormesenteric,splenic,gastric,andcysticarteries收集腸系膜上、下動(dòng)脈，脾動(dòng)脈，胃動(dòng)脈，和膽囊動(dòng)脈來(lái)的血液。

PortalVeinSystem門(mén)靜脈系統(tǒng)現(xiàn)在是22頁(yè)\一共有25頁(yè)\編輯于星期五PortalVeinSystem門(mén)靜脈系統(tǒng)

Liverreceives bloodfromthe portalveinand hepaticartery.

肝臟收集門(mén)靜脈和肝動(dòng)脈來(lái)的血液

Bloodleavesthe liverthroughthe hepaticvein.血液經(jīng)肝靜脈離開(kāi)肝臟Copyright1989.Novartis.ReprintedwithpermissionfromtheAtlasofHumanAnatomy,illustratedbyFrankH.Netter,M.D.Allrightsreserved.Hepaticartery肝動(dòng)脈Hepaticvein肝靜脈Portal

vein門(mén)靜脈現(xiàn)在是23頁(yè)\一共有25頁(yè)\編輯于星期五Cause病因:Ablockedvesselintheliverduetocancer, tissuescarringbycirrhosis,hepatitis,etc.因?yàn)榘┌Y、肝炎或肝硬化所致的組織纖維疤痕化造成的肝血管受壓。Bloodflowisforcedbackwardcausingveinstoenlarge,resultinginvaricealbleeding.血液被迫反流造成靜脈擴(kuò)張，靜脈曲張破裂出血。ClinicalSym