胆漏_____胆漏；胆囊切除术(期刊论文)

18例胆漏原因分析及防治体会

http://www.100md.com 《咸宁学院学报(医学版)》 2005年第5期

胆漏,,胆漏；胆囊切除术,1临床资料,2结果,3讨论,参考文献：

     摘要：目的探讨胆漏的原因及防治策略。方法对1992年1月至2004年12月诊治的18例胆漏病人的临床资料进行回顾性分析。结果本组18例中，造成胆漏的主要原因是胆囊管残端结扎不牢或损伤(共9例，50%)，其次为T管滑脱或拔管失误(共4例，22%)。治疗方面，经非手术治疗12例，手术治疗6例，治愈率达100%。结论胆漏多发生于胆囊切除术及T管拔除后，预防关键在完善首次手术，治疗方式视病情而定。

    关键词：胆漏；胆囊切除术

    The Causes Analysis and Prevention and Treatment of 18 Cases Bileleakage

    HUANG Xianming,YU Houhuo,OUYANG Shan

    (Department of Surgery,Shipai People's Hospital of Dongguan City,Dongguan Guangdong 523330,China)

    ABSTRACT:Objective To study the causes,prevention and treatment of bileleakage.Methods A retrospective study was made on the clinical data of 18 patients with bileleakage from Jan.1992 to Sep.2004.The causes leadding to bileleakage and it’s treatment efficacy were analysed respectively .Results The main causes were untight ligation or impairment on residual end of bile duct (9 cases,50%),then were shedding or faulty extraction of Ttube(4 cases,22%).12 cases were treated with nonoperative therapy and 6 with operation,the total cure rate was 100%(18/18).Conclusion Bileleakage often occurs after cholecystectomy or removal of a Ttube.The treatment mode may be selected according to the degree of leakage and the condition of patients,and the key to the prevention is perfectting the first operation. ......

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