肝外胆道手术中十二指肠损伤的防治

Prevention and treatment in case of operation of bile duct that cause duodenal hurt

[目的]探讨肝外胆道手术中所致十二指肠损伤的预防与治疗.[方法]回顾1990年～2004年随机抽取76例肝外胆道手术病例中,有18例造成十二指肠损伤临床分析.[结果]全组有8例为十二指肠后壁损伤;10例十二指肠前壁损伤;全组病例中造成十二指肠损伤18例,发生率为23.7%（18/76）;术后并发症4例,发生率为5.2%（4/76）;死亡2例,死亡率2.7%（2/76）.[结论]肝外胆道手术对十二指肠损伤不可忽视,主要以预防为主,一旦损伤,应积极采取适当合理的术式,是提高治愈率降低并发症和死亡率的关键.

[Objective] To study Prevention and treatment in case of operation of the bile duct that cause duodenal hurt. [Methods] Diagnosisand results of surgical treatment were analysed retrospectively of 18cases of duodenal hurt .in 76case of of operation of the bile duct since 1990 - 2004. [Results] have 8 case of hurt of duodenal back and 10 case of hurt of duodenal front; Among them duodenal hurt was 18 case, rate was 23.7 % （18/76）; The postoperative complication was 4 case, rate was 5.2% （4/76）; death was 2 case, rate was 2.7 % （2/76）. [Conclusion] it can＇t neglect that operation of the bile duct cause duodenal hurt. Prevention is importment, if hurt, should adopt actively the appropriate and reasonable type is a key that raises the cure rate to lower the complications and death rate.