医源性胆管损伤23例分析

The Analysis of 23 Cases Treatment in Iatrogenic Extrahepatic Biliary Tract Injuries

目的:探讨胆道手术后胆管损伤的原因及其防治方法。方法:对1985年至2005年8月间我院胆道术后发生的23例胆道损伤的临床资料作回顾性分析。结果:切断胆管12例,缝扎或部分缝扎胆管7例,缝针等刺伤胆管4例,均手术治疗。死亡2例,分别为胆漏及感染性休克各1例,好转1例,余20例痊愈。结论:胆管损伤多发生于胆囊切除术、胆道手术及LC术,应尽早发现,及时处理。

Objective To study the causes and management of biliary tract injuries with postoperative. Methods The clinical data of 23 patients with bile duct injuries after bile duct surgery at our hospital form 1985 to August 2005 were reviewed. Results Bile duct cuttedin 12, sewed or partly sewed in 7, pricked by sewing needle in 4. All patient were reoperation. Two patientsdied. One died of biliary fistula, another on died of infectious shock. One patient improved, another 20 cases were Cured. Conclusion Bile duct injuries often occurs after cholecystectomy of bile cuct surgery, and after the LC. It is proper to discovery early and treatment timely.