<blockquote id="ykis2"></blockquote>
<input id="ykis2"></input>
  • <blockquote id="ykis2"></blockquote>
  • <samp id="ykis2"></samp>
    <menu id="ykis2"><input id="ykis2"></input></menu>
  • <menu id="ykis2"></menu>
  • <samp id="ykis2"><s id="ykis2"></s></samp>
    論文分類>>論文庫首頁 | MBA論文 | MPA論文 | 教育碩士論文 | 法律碩士論文 | 工程碩士論文
     
    當前位置:主頁 > 碩士論文庫 > 工程碩士 > 生物醫學工程 > 文章內容

    膽囊切除術后殘余膽囊并結石12例分析
    關鍵字:膽囊,分析,CD,EF,GH,AB,yz,uv,wx,IJ, 發布時間:2011-08-20

    膽囊切除術后殘余膽囊并結石12例分析 詹發杰 733000甘肅武威市人民醫院普通外科 摘要目的:探討膽囊切除術后殘余膽 囊并結石的發生原因及診治經驗。方法: 對12例膽囊切除術后殘余膽囊并結石的 臨床資料進行回顧性分析。結果:12例 患者全部手術治愈,無嚴重并發癥。結 論:膽囊切除術后殘余膽囊并結石的發生 是膽囊切除術中多種因素引起的;B超、 ERCP是準確可靠的檢查手段;規范膽囊 切除術操作,膽囊切除手術質量的提高是 可以有效防止或降低其發病率的措施。 本病一旦確診,手術行殘余膽囊切除是首 先的治療。 關鍵詞膽囊切除術殘余膽囊治療 doi:10.3969/j.issn.1007—614x.-2010. 25.036 1998年12月~2008年12月收治膽 囊術后殘余膽囊結石患者12例,現報告 如下。 資料與方法 本組12例,男3例,女9例,年齡25 ~65歲,平均35.6歲。第1次手術情況: 擇期膽囊切除術4例,急診膽囊切除術8 例。手術方式:Lc3例,OC2例,MC7 例。術后1個月一3年內再次出現類似 膽囊炎的癥狀。 膽囊切除手術史后3年內再次出現 類似骨H囊炎癥狀,右上腹痛、后背脹痛11 例,腹痛伴發熱3例,腹痛伴黃疸2例。 右.卜腹深壓痛8例,皮膚鞏膜黃染2例, 體格檢查無陽性體征3例。血常規異常 3例,肝功能異常3例,血尿淀粉酶升高1 例。 B超發現殘留膽囊并結石9例;3例 經MRCP檢查,發現殘留膽囊并結石3 例,2例為B超檢查后陰性病歷;1例經 ERCP檢查發現殘留膽囊并結石1例。 殘留且H-囊伴結石大小不等,單發結石3 例,多發結石9例。 結果 lO例患者行擇期殘余膽囊切除術,2 例患者行殘余膽囊切除術和膽總管探查 “T”形管引流術,無嚴重并發癥發生,全 部治愈出院。 討論 殘余膽囊結石形成的原因:①手術中 將月}{囊管殘端殘留過長且留有結石,手術 中結扎膽囊管時在解剖清晰的情況下,還 要反復觸摸有無膽囊管內粘著的結石,必 要時打JF膽囊管取出膽囊管內結石;②膽 囊切除術中將大膽囊變為小且H囊并存留 結石,近來膽囊大部切除術式已很少采 用,且H囊大部切除只能在特殊情況下采 用,應嚴格掌握適應證并慎用一。;③且fI囊 切除術式選擇不合適;④術者經驗不足, 未按規范性手術操作,使月嗵囊管殘株過 長。 膽囊術后殘余膽囊并結石的診斷多 有誤診和漏診,在術后開始發作時常常冠 以膽囊術后綜合征,隨著發作次數的增 加,癥狀的明顯,殘余膽囊腔的擴大以及 結石的增大,影像檢查多能明確診斷。既 往且H囊手術史,再次出現類似膽囊炎癥 狀,B超、MRCP、ERCPR陽性發現是確診 的手段。 本病一日.確診,首選手術治療,在 全麻下行擇期殘余膽囊切除術。再手 術時麻醉要完善,完善的麻醉彳‘有手術 良好的濕露。本研究中有3例與上次 膽囊手術中麻醉不完善,術野顯露不 好,未能清楚地顯露膽囊=三角的因素。 再次手術具有一定的難度、復雜性,應 組織經驗豐富的手術小組,一般選原切 口并適當延長。手術關鍵是找到殘余 膽囊,在肝床下由淺入深由左向右仔細 解剖,最好是在分離過程中能觸摸到殘 余結石,其次通過穿刺抽得膽汁,再次 可通過解剖出肝管后逆行找到殘余膽 囊。必要時行術中膽道造影等以明確 解剖關系。為防止意外的副損傷在分 離找到殘余膽囊后最好打開殘余膽囊, 取出結石后,在膽囊殘腔內引導下分離 膽囊管,對于有部分結石粘著于鵬囊管 的要剖開膽囊管取出結石,以防止結石 的再次殘留,距月H總管0.5Cln結扎膽 囊管,切除殘余膽囊并結石。 防止殘余膽囊的發生,必須強調膽囊 切除術操作規范,提高膽囊切除術的質 量,術者應注意:①必須高度重視,應按膽 囊切除術常規步驟精心細致地操作,耐心 地解剖,必須追朔到膽囊管匯人肝(膽) 總管處,明辨“三管”關系后妥善處理膽 囊管;②應警惕膽囊管有無結石殘留,以 手指觸摸行將結扎的膽囊管,可將結石推 擠至結扎的膽囊側,否則,應切開、取出結 石后再結扎;③LC操作者必須有開腹膽 囊切除術的豐富經驗,必須做到訓練有 素;④丑H囊切除術要根鉛病人的情況,醫 生的經驗選擇合適的術式。 引起殘余膽囊的諸多因素中,術者的 因素起著決定性作用,提高術者的素質是 預防殘余且H囊的父鍵:①術者應提高對膽 囊切除術和殘余膽囊的認識,行小切口膽 囊切除術或Lc時,在追求低損傷的同時 注意防止殘余膽囊的發生;②術者熟練掌 握膽道的局部解剖和膽囊三角的解削方 法,耐心、仔細并嚴格按照操作規程進行, 不要為了刻意追求手術速度而草率行事; ③反對輕率實施肌囊大部切除術,謹慎對 待小切u膽囊切除術,嚴格掌握膽囊大部 切除術的適應證;④在施行膽囊部分切除 術時應強調對殘余膽囊黏膜的處理,可以 采取刮除、碘酒或酒精燒灼的方法,祛除 其分泌功能,殘腔大者要用帶蒂大網膜填 塞縫合固定,防止小膽囊的生成、殘株再 發以及結石的形成;⑤避免膽囊管殘留結 石,切除且H囊時應充分顯露膽囊‘角,仔 細捫診膽囊管傘程,必要時切開膽囊管取 石,或經檢查r解膽系解削及有無結石殘 留;同時,術中做膽道鏡檢查,可有效避免 殘留結石。 參考文獻 1付由,池高,志清.殘余膽囊36例病因分析 與診治.人民軍醫,2001。44(3). 2WalshRM,ponsky幾,doumotj.Retainedsan? baddeer/cystieductremnantcalculia8 acause ofpostcholecystectomypain[J].Surgendosc, 2002,16:981—984. 3夏穗生,黃莛庭,石景森,等.膽囊大部切除 術的適應證和技術要求.中華肝膽外科雜 志,2001,7:307—309. 4任猶駿,徐炳文,熊艷.殘余月H囊的處理和 預防.肝膽外科雜志,2006.14(1):58—75. 5石景森.努力提高膽囊殘留病變的防治水 平.中華肝膽外科雜志。2002。8:451—452. 中國社區醫師?醫學專業2010年第25期(第12卷總第250期)41 萬方數據 換頁

    上一篇:疲勞發生機制研究進展   下一篇:沒有了
    :::: 支付方式 ::::
    :::: 服務熱線 ::::
    (周一至周五8:30-17:30)
    (周六至周日9:00-18:00)
    服務電話:020-61131011
    020-61131022 轉82
    傳真:020-61131022
    電子郵件:[email protected]
    [email protected]
    服務QQ:130009919
    130008818
    :::: 熱點文章 ::::
    :::: 相關文章 ::::

    · MBA
    · MPA
     · 教育碩士
    · 法律碩士
    · 工程碩士

    服務電話:020-61131011;020-61131022 轉82 投訴電話:020-61131011;020-61131022 轉88 傳真:020-61131022
    電子郵件:[email protected] [email protected] 服務QQ:130008818 130009919 (工作時間:周一至周五8:30-20:30 周六至周日9:00-18:00)
    © 2002-2004 輕松論文網  網絡實名:輕松論文
    SiteMap
    8888彩票平台8888彩票主页8888彩票网站8888彩票官网8888彩票娱乐 www.63606d.com | 0080c.com | www.595813.com | www.61524s.com | www.087k.com | www.44118d.com | www.5504h.com | www.xx9090.com | www.dfs995.com | o99345.am | 3807x.com | 3424u.com | 7737.com | www.36788e.com | www.810625.com | www.9155b.cc | www.99788g.com | www.55676t.com | www.4996gg.com | www.yh8396.com | www.hg7853.com | www.hg5801.com | www.tushan08.com | 11449193.com | 621155.com | 33318o.com | 0289v.com | 9121901.com | j8381.com | 9971001.com | www.325477.com | www.766076.com | www.lu126.com | www.81455.com | www.80065s.com | www.441394.com | www.0600w.cc | www.78680s.com | www.129088.com | www.00773i.com | www.hj809.com | www.8000hm.com | www.tyc855.com | www.dy1166.com | www.55268qq.com | www.28758u.com | www.546004.com | www.111893.com | 1185456.com | 5443v.com | 65005o.com | 2698v.com | 50000023.com | wancaicp.com | xpjbak.com | n1429.com | 33567m.com | 1098.com | www.8520t.com | 5004.cc | www.8520f.com | 5002rrr.com | 38345y.com | 7334x.com | 54540123.com | www.hg9953.com | www.aicaicc.com | www.518hwx.com | www.76060h.com | www.as0004.com | www.j7700.com | www.ydb01.com | www.09569y.com | www.900673.com | www.45hg.com | www.ylg3456.com | www.sun7789.com | www.874858.com | www.614886.com | www.bwinyz12.com | www.5551883.com | www.wn816.com | www.84499x.com | www.2934q.com | www.w058.com | www.188712.com | 59964ii.com | 496yy.com | 22291177.com | 53262dd.com | 3967c.com | c5429.com | 2418z.com | www.hg44401.com | www.hg2968.com | www.333423.net | www.66.42.42.157 | www.1429e2.com | www.hbet97.com | www.81678y.com | www.coz5.com | www.165090.com | vip.city78.cn | 118888b.com | 7893w8.com | 365bet888.com | zhcp70.com | www.39695h.com | www.du0005.com | www.a948a.com | www.33678pp.com | www.719880.com | www.84040.com | www.bxcp66.com | www.43131g.com | 3678lll.com | 80878h.com | 28839r.com | www.289599.com | www.hx3386.com | www.4446fff.com | www.win1238.com | www.lczg8.com | www.331215.com | 1018xpj.com | 75991m.com | 93922w.com | 7989j.com | www.mmtx88.com | www.a81c.cc | www.hjj11.com | www.3416y.com | www.031059.com | ww555hg.com | blm599.com | 75991q.com | www.14086622.com | www.28000p.com | www.68993275.com | www.ascp5.com | 61324422.com | 28839x.com | mgm3242w.com | www.79667.com | www.biying980vip.com | www.77802g.com | www.501346.com | 1144589.com | n8159.cc | www.a27229.com | www.5966ooo.com | www.777xx.cc | www.852699.com | dfmcsoft.com | 58537777.com | www.66am4455.com | www.115527z.com | www.9149j.com | www.040439.com | vns8y.com | 99111ss.com | www.11p1.cc | www.j3678.com | www.10113.com | 8294k.com | 4022gg.com | www.long8603.com | www.4agcpw.com | www.6011888.com | www.369965.com | 3807bb.com | 6220p.com | www.vns7312.com | www.3421m.com | www.943893.com | 6594rr.com | 2147788.com | www.vns1668.vip | www.2021o.com | www.66ffv.com | 5533vn77.com | zunyi801.com | www.7736.com | www.83033w.com | www.50051i.com | 570580.vip | www.7720p.com | www.4996gz.com | www.ya318.com | 97799z.com | 22tt8332.com | www.vns1033.com | www.13434b.com | www.189370.com | 4379y.com | www.39695e.com | www.4058k.com | www.809215.com | dingji0088.com | www.pj9086.com | www.7415tt.com | www.hmfc8.com | pp3100.com | alifa978.com | www.19019d.com | www.flff4.com | 66671g.com | www.hg7979.com | www.bwinyz43.com | www.763659.com | 56978.com | www.jinsha300.com | www.y80288.com | www.904820.com | renxinbo.cc | www.an6988.com | www.420086.com | www.673066.com | 0683e.com | www.55112055.com | www.6678565.com | b762.xyz | 537.cc | www.df5805.com | www.c602.cc | w08199.com | www.7600679.com | www.1831222.com | www.109883.com | 35zz.vip | www.hndf333.com | 22296zt.com | www.214333.com | www.00840y.com | 5443q.com | www.bg999333.com | www.xpj1123.com | 79964v.com | 3121ee.com | www.98698x.com | www.912451.com | 9646y.com | www.9846d.com | www.84499z.com | 2287gg.com | www.85657a.com | www.4546200.com | www.78949u.com | 69111a.com | www.5099vv.com | www.528112.com | 2490r.com | www.98923.com | www.820585.com | c3405.com | www.bbc228.com | www.am7779.com | 4465c.com | www.76998.com | www.dan50.com | 4340r.com | www.548866.com | www.hx6694.com | xinvip7.com | www.kk377.com | www.hj9798.com | 3568o.com | www.hg531.com | www.729019.com | yf2999.com | www.9980.la | www.262548.com | 2381vvv.com | www.45598w.com | 9737gg.me | www.hg8125.com | www.00mgm777.com | 1389yy.com | www.53516u.com | www.3416f.com | 9646y.com | www.56655k.com | www.544949.com | 83138t.com | www.00878.com | 2546f.com | www.777444c.com | www.73031.cc | 51133www.com | www.788jyh.com | 1697.com | www.695395.com | www.99638g.com | 2021x.com | www.138cps.com | www.137651.com | 1775mm.com | www.5337933.com | 4195q.com | www.y00888.com | www.535267.com | 3136xx.com | www.065925.com | ii76669.com | www.15048u.com | www.374677.com | 88535d.com | www.rfdc02.com | 492dh.com | www.d456x.com | www.32123u.com | www.v0040.com | www.6364p.com | 6594bb.com | www.9895j.com | 30174400.com | www.40042.com | www.303471.com | www.68666g.com | www.73736b.com | mg6888.com | www.yh234c.com | 8881240.com | www.158msc.com | www.550423.com | www.yyhbet6.com | www.66376y.com | mhc8888.info | www.32638.com | 668668.am | www.58665n.com | 66005002.com | www.hg5526.com | www.355264.com | www.4763222.com | www.60ksw.com | 20611.net | www.ya2019p.com | 36401100.com | www.78680r.com | ww080.us | www.704902.com | 1434a.com | www.qmc0022.com | 5350r.com | www.ttb222.com | csj110.com | www.5536kj.com | www.80767u.com | www.33384066.com | www.346311.com | www.twcp06.com | www.630155.com | www.6491n.com | www.926887.com | www.86611i.com | www.11dwj.com | pp2649.com | www.8499m.com | 8827zzz.com | www.9928o.com | zhcp86.com | www.9928j.com | 28484000.com | www.tctx6.com | www.68666a.com | www.cp8014.cc | www.o168a.com | www.995771.com | www.hg1895.com | www.984688.com | www.hg298.com | www.809381.com | www.a78bet.com | www.599642.com | www.4972aa.com | www.193006.com | www.ubo3388.com | xianboba.com | www.11ledian11.cc | 1077zz.com | www.55545o.com | hg2088.com | www.y6091.com | 0099220.com | www.957004.com | 22tt8331.com | www.3005w.com | www.56733v.com | www.590596.com | www.dzc67.com | 496yy.com | www.222bet365.cc | 316f.cc | www.ba508.com | 7605e.com | www.50054h.com | 5005b.com | www.717671.com | www.99338.com | jnbzsj.com | www.l5503.com | 4066kk.com | www.pj9010.com | 6261j.com | www.6832u.com | www.10887.com | www.268221.com | www.442244.com | dd00558.com | www.o3410.com | 08809.com | www.6611e.cc | www.67797s.com | 118cp4008123.com | www.255793.com | 4255bb.com | www.80767x.com | www.63260.com | www.97655v.com | www.10444.com | 56988yy.com | www.55238c.com | 8294s.com | www.290252.com | www.449555.com | JS1388j.com | www.b98478.com | 20775544.com | 111b9.com | www.608499.com | 67890ss.com | www.33112j.com | www.36530088.com | sxpj62607.com | www.4521dh.com | 80368nn.com | www.976909.com | www.18777s.com | 15a2.net | www.98478.com | www.fun08.net | 2021b.com | www.5981z.com | 2140011.com | www.901397.com | www.3170003.com | i4212.com | www.89777l.com | www.81866p.com | 73055.cc | www.h83377.com | 444000vvv.com | www.545568.com | www.o948o.com | 77606w.com | www.978315.com | www.822992.com | 4775522.com | www.22603.cc | www.551324.com | hg999333r.com | www.36166g.com | www.2643j.com | 67890xxx.com | www.39500m.com | www.hg246.com | 1331nn.com | www.8499d.com | www.9679003.com | 01234s.com | www.3416e.com | www.644055.com | 3846ooo.com | www.6769a1.com | www.js888800.com | j58955.com | www.483552.com | www.7334b.com | 4997h.com | 8881779.com | www.883399i.com | www.4759kk.com | js14x.com | www.28462000.com | www.7196x.com | 89892mm.com | www.000128a.com | www.3846s.com | yz6388.com | 45637v.com | www.ws966.com | www.2880880.com | 1213zzz.com | www.8499i.com | www.hg7650.com | 88851c.com | www.090392.com | www.32031e.com | www.1019993.com | 1591mmm.com | www.3416q.com | www.8825666.com | 8569811y.com | 444000www.com | www.0967005.com | www.101717.com | 3482g.com | www.370833.com | www.ag3344.com | www.sun8558.com | 9895v.com | www.915366.com | www.8885hj.com | www.602msc.com | 1397.am | www.c5128.com | www.19019e.com | 27878kk.com | 1479i.com | www.c6770.com | www.9737zz.com | www.yh66605.com | 19990c.com | www.775720.com | www.573512.com | www.js3444.com | 2222.ag | www.178075.com | www.55717o.com | www.xpj00220.com | 4809p.com | 61322244.com | www.22ckb.com | www.4078e.com | www.333xhtd.com | 0446b.com | www.033918.com | www.6889791.com | www.4887999.com | 168cp-f.com | 933620.com | www.987423.com | www.06820n.com | www.3643n.com | hhh4165.com | 111000rr.com | www.3552a.com | www.999jyh.com | www.76543d.com | 3568uu.com | 5003com | www.99jtj.com | www.l80288.com | www.32666p.com | 22299dd.com | 1407s.com | www.910336.com | www.490806.com | www.349459.com | 228888l.com | 365vip500.cc | www.083015.com | www.61233hh.com | www.hf9019.com | www.0686777.com | 0206.com | 009900u.com | www.le53.com | www.6687s.com | www.370011.com | vip31447.com | 6003822.com | www.177417.com | www.26299i.com | www.88166b.com | www.hgbet22.com | 33382v.com | 3552v.com | www.80065i.com | www.45565.cc | www.y0291.com | www.43380a.com | www.18735528058.com | 5219s.com | 3327.com | www.398793.com | www.77114h.com | www.17k0048.com | www.pj5664.com | 6423w.com | dd01234.com | pjxizang.com | www.110879.com | www.5441q.com | www.yl61332.com | www.lfcp099.com | www.3459l.com | zhcp05.com | 4912c.com | 7376.com | www.167356.com | www.5881.cc | www.78919g.com | www.4963oo.com | www.ubo3388.com | www.un333.com | 7377.com | 65561155.com | 83086o.com | www.178651.com | www.gai06.com | www.570041.com | www.b35rr.com | www.jb8899.com | www.87879193.com | i2306.com | 38822233.com | 2546e.com | h2554.com | www.178329.com | www.hx1163.com | www.07163i.com | www.44118k.com | www.662412.com | www.66136cc.com | www.76060t.com | 55nn8332.com | zb129.com | 141237.com | 97886699.com | 500000797.com | www.252359.com | www.987957.com | www.49956c.com | www.yh7788.bet | www.i80288.com | www.899500.cc | www.49bbs.com | www.09569q.com | www.284888.com | 888p1.cc | 2096b.com | 3550m.com | b4116.com | 33432y.com | 0088cpw.com | www.33588o.com | www.531982.com | www.978913.com | www.8839p.com | www.944990.com | www.78919c.com | www.60886n.com | www.bwinyz11.com | www.c46.bet | www.7060.cabet186.com | www.pj1314.com | www.67797n.com | www.hgttt.com | bwinrrr.com | mgm3242.net | 78332.com | tt6826.com | 86611a.com | ll40033.com | 00664002.com | 69444488.com | 2649aa.com | 3467d.com | 77360033.cc | dzyy076.com | 4018002.com | 3467u.com | kk3336.com | 2381ttt.com | 6177002.com | 272yy.net | 500000746.com | y2894.com | 0234ee.com | 77605n.com | pt777.com | 1468kkk.com | 2012bet5.com | 8988dd.com | 495b.cc | feicai0537.com | 500000953.com | pt8338.com | 52599f.com | ll67890.com | 3950l.com | 28288zz.com | 78110099.com | 3726o.com | 8685151.com | 654237.com | 7555l.com | 35222k.com | 2jsxxx.com | man153.com | 2381dd.com | 2306.cm | www.js388999.com | www.6491v.com | www.hg9946.com | www.58777i.com | www.pj9075.com | www.amjs4488.com | www.15457.com | www.998855i.com | www.5146z4.com | www.4058tt.com | www.b32031.com | www.g94600.com | www.927004.com | www.87668t.com | www.5441e.com | www.949403.com | www.530255.com | www.52072l.com | 5446tt.com | 33432y.com | baliren137.com | 53358.com | 33gg8331.com | lch8898.com | www.vnsr900.com | www.44ff940.com | www.05789.com | www.22cp163.com | www.688044.com | www.97828k.vip | www.87668m.com | www.fh3993.com | www.529026.com | 78111155.com | 61328866.com | 1679abc.com | 7003ww.com | 2381ii.com | www.8124f.com | www.yh0188.net | www.www-tm8088.com | www.9911331.com | www.88599.com | www.16878y.com | www.760557.com | www.34788e.com | g2554.com | 0667.com | 588iii.cc | www.8124b.com | www.0wdgj.com | www.4568999.com | www.78680h.com | www.39500d.com | www.634679.com | 88cp.org | 238228.com | 599hainan.com | 3644f.com | www.js7888.co | www.50021.com | www.9187.com | www.281877.com | www.340911.com | 9498.us | P77.cc | 9995i.cc | www.2078i.com | www.5049q.com | www.68365t.com | www.5095s.com | www.183676.com | 896606.com | 3788.link | www.e67783.com | www.004439.com | www.89677k.com | www.07163v.com | www.lg7717.com | 3018nn.com | 69440055.com | 584575.com | www.3170002.com | www.bwin960.co | www.a387387.com | www.560103.com | hg999333q.com | am661.cc | www.pjdc3388.com | www.dpcq2.hly.com | www.ttt2848.com | www.3126f.com | 84496677.com | 15q15.net | 168cp-m.com | www.2605505.vip | www.cn365d.com | www.54400s.com | www.186793.com | 9679r.com | 168cp-f.com | www.pj3678.com | www.wnsr3536.com | www.50788p.com | www.150196.com | 500000394.com | 2649kk.com | www.ffvns.com | www.xpj9.net | www.hm6333.com | nf6655.com | 86611v.com | www.yh201477.vip | www.c7201.com | www.bet73r.com | www.235693.com | 2381u.com | 7008037.com | www.vip6233.com | www.4833046.com | www.592411.com | 2229tz.com | 11989s.com | www.69880.com | www.196606.com | www.643388.com | 6095app.com | 500000717.com | www.yao626.com | www.6787758.com | www.510477.com | u58955.com | 87578.com | www.dzcp8888.com | www.65707h.com | 22mm8331.com | 57157.com | www.58777x.com | www.8080999g.com | www.916720.com | k2146.com | ly88888824.com | www.2302327.com | www.88266t.com | 8333.org | 8569811v.com | www.xn339.com | www.68365i.com | www.376817.com | 0860h.com | www.pj6653.com | www.393002.com | www.865807.com | 11005003.com | www.yh8007.com | www.5446hh.com | www.hjin3.com | 500000592.com | tyc1513.com | www.68806.com | www.31czj.com | 97000.org | 6363l.com | www.4212k.com | www.fcff6.com | 18775i.com | www.6248j.com | www.hg8ll.com | www.983699.com | 2490d.com | www.wnsr800.com | www.888688.cc | www.557089.com | so66666.cc | www.555pj8.cc | www.8828229.com | 11gg8332.com | bet577w.com | www.jjjj55555.com | www.2934x.com | 86688006.com | www.8124x.com | www.63606i.com | www.191065.com | uu7742.com | www.643sunbet.com | www.26163l.com | dz882.com | www.682855.com | www.60886j.com | www.038079.com | 6261k.com | www.0088psb.com | www.849689.com | 66300vip25.com | www.377088.com | www.9646p.com | hg97222.com | 131ff.net | 2546v.com | www.c559.com | www.803733.com | 8159kk.cc | www.558667.com | www.9149l.com | 299.so | www.749msc.com | www.9511888.com | lehu221.com | www.hg7979.com | www.8577d.cc | 188qq.com | 3656gg.com | www.519345.com | HB97399.com | 11989n.com | www.89677q.com | www.142525.cc | feicai0908.com | www.5446cc.com | www.339281.com | s2490.com | www.28000u.com | www.346411.com | 67877.com | www.5446dd.com | www.203059.com | 159666e.com | www.sb5505.com | www.187512.com | jz7.com | www.9997058.com | 9649y.com | js666996.com | www.xpj816.com | 3822u.com | www.617703.com | www.226467.com | 7894j.com | www.k38008.com | www.3479q.com | 4036ww.com | www.bet365zh.com | www.599690.com | q888.com | www.4996sp.com | 55818v.com | www.ylg777555.com | www.4520099.com | yhhainan.vip | www.i55106.com | www.2373l.com | 30688j.com | www.c5c44.com | www.126293.com | 31780000.com | www.cb800.cc | 0234f.com | www.279765.com | www.5zxz.com | vns7711.com | www.16181d.com | 26668x.com | www.d32126.cc | www.77803l.com | 55kka.com | www.938f.cc | www.025727.com | www.81866o.com | www.tyc44222.com | 033f.net | www.19880s.com | www.196056.com | 20779966.com | www.301711.com | 0343o.com | www.566652.com | 11007.com | www.63877j.com | www.29277g.com | 04666a.com | www.0062737.com | 365666.com | www.54146666.com | www.985576.com | 6e604.com | www.m63568.com | 4165f.com | www.ns6677.com | www.52072m.com | www.vns9982.com | www.50090.cc | yh88133.vip | www.63606l.com | 131aaa.net | www.37a060.com | www.035168.com | www.an6988.com | www.081wy.com | hwcp.com | www.v94600.com | 131tt.net | www.k70.com | hh697.cn | www.pj903.com | www.375951.com | www.388103.com | www.5091i.com | x333.co | www.x999789.com | 779644.com | www.4828118.com | aa7742.com | www.352233.com | 61321166.com | www.10050813.com | www.506739.com | www.hj3888.com | www.89wcp.com | 8036t.com | www.910056.com | 1489l.com | www.52062m.com | q1458.com | www.huangma25.com | uu1331.com | www.3846q.com | v1781.com | www.4646123.com | 7894f.com | www.9949q.com | www.196029.com | www.t22365.com | www.552358.com | www.vns388.com | www.997345.com | yyh913.com | www.gczj1.com | 7196zz.com | www.022l.cc | 8905g.com | www.2109e.com | 131iii.net | www.3890r.com | 2247s.com | www.3890h.com | 66876q.com | www.2875x.com | pppp0066.com | www.371k.cc | 5004jj.com | www.9889hc.com | 37730vip.com | www.974090.com | www.030xpj.com | www.810523.com | www.63877s.com | www.587989.com | www.21365dd.com | www.268221.com | www.hg0012.com | 59964zz.com | www.4412.com | 66458d.com | www.72msxfpta.com | 1224.cc | www.28000v.com | 3421o.com | www.6687g.com | 38365b.com | www.0343l.com | zz38648.com | www.66653s.com | blh13579.com | www.938751.com | www.hg6699.net |