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。
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.
出处
《咸宁学院学报（医学版）》
2005年第5期406-407,共2页
Journal of Xianning Univarsity(medical Sciences)
关键词
胆漏
胆囊切除术
Bile-leakage
Cholecystectomy
