[摘 要] 目的：探讨肝胆外科手术后胆漏的产生原因与防治措施，以减少胆漏的发生率。方法：收治肝胆外科手术后发生胆漏患者21例，胆漏的原因：胆囊切除术后发生胆漏5例，胆总管探查T管引流后发生胆漏9例，肝癌患者进行肝叶切除术后发生胆漏5例，肝外伤手术后发生胆漏2例，治疗方法采用手术治疗和非手术治疗。结果：21例胆漏患者经过非手术或手术治疗后，全部治愈，治愈率100%。结论：肝胆外科手术后胆漏首选非手术治疗。

    [关键词] 肝胆外科手术；胆漏；原因；防治措施

    [Abstract] Objective:To investigate the hepatobiliary surgery for bile leakage causes and prevention measures to reduce bile leakage incidence.Methods:from October 2010 to December 2011 after hepatobiliary surgery in patients with bile leakage in 21 cases,bile leakage reasons:cholecystectomy biliary leakage in five cases,the common bile duct exploration and T tube drainage after biliary leakage of nine cases of liver cancer patients liver resection of postoperative bile leakage in five cases of liver injury after surgery,bile leakage in two cases,treatment with surgery and non-surgical treatment.Results:21 cases of patients with bile leakage after non-surgical or surgical treatment,all cured,the cure rate was 100%.Conclusion:The liver and gallbladder bile leakage after surgery the preferred non-surgical treatment. ......