摘要
目的探讨医源性胆道损伤的预防和治疗措施.方法对36例医源性胆道损伤的临床资料进行回顾性分析.结果36例共施行手术41次,其中2次手术者5例.最后1次手术方式为胆管端端吻合2例,胆管壁缺损修补4例,单纯缝线拆除3例,胆管空肠Roux-en-Y吻合27例.28例随访1～8年,优良率90%.结论胆囊切除术是医源性胆道损伤的主要原因,是可以避免的.胆管空肠Roux-en-Y吻合术是医源性胆道损伤或损伤性狭窄修复重建的首选方法.
Objective To discuss the prevention and the therapeutic means of the iatrogenic bile duct injuries. Methods The clinical data of 36 patients with the iatrogenic bile duct injuries were reviewed retrospectively. Result 41 operations were performed in 36 cases, among them, 2 times operation were carried out in 5 eases. The last surgical treatment was performed in all patients by the end to end anastomosis of bile duct in 2 cases,the repair of bile duct injury in 4 ones,the removal of suture in 3 ones,the Roux-en-Y choledochojejunostomy in 27 ones. The data from 28 cases who was followed up from 1-8 years showed 90% patients presented good results. Conclusion The main cause of iatrogenic bile duct injuries was choledcystectomy,the bile duct injuries can be prevented. The Roux-en-Y choledochojejunostomy assroach was the best choice in the reconstruction of iatrogenic biliary tract injuries and traumatic stricture of bile duct.
出处
《肝胆外科杂志》
2005年第5期332-334,共3页
Journal of Hepatobiliary Surgery
关键词
胆管损伤
医源性疾病
治疗
Bile duct injury
Iatrogenic diseases
Treatment
