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基层医院胆囊切除术胆管损伤的原因分析及防范 被引量:2

Analyzing the Reason and Prevention of Duct Injury in Cholecystectomy in Primary Hospital
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摘要 目的:探讨胆囊切除术致胆管损伤的原因及防治措施。方法:回顾性分析2000年1月至2008年10月我市胆囊切除术致胆管损伤4例的临床资料。结果:肝总管横断性损伤2例,胆总管横断伤1例,胆总管壁部分损伤1例。胆管损伤后1例行胆总管吻合加T型管引流术,1例行胆总管修补T管引流术,2例行肝总管-空肠(Roux-.en-.Y)吻合。所有病例均治愈。结论:时刻警惕胆道损伤的潜在危险,术中仔细操作,是预防胆道损伤的唯一方法;胆管损伤在术中早期发现并且妥善处理,仍可达到治愈目的。 Objective: To explore the reason and measure of duct injury in cholecystectomy. Method: 4 cases duct injury resultened from cholecystectomy were revived from Jan. 2000 to Oct. 2008. Result:There were 2 cases common hepatic duct transection jnjury, 1 case with common bile duct transection injury, 1 case with part of common bile duct injury. 1 case with common bile duct anastomosed and drainage by "T" type tube after common bile duct injury. 1 case were repaired of common bile duct, then drainaged with "T" tube. 2 cases with hepaticojejunostomy (Roux -en -y). All the cases were cured. Conclusion: The only way to prevent duct injury is to operate carefully during surgery and pay attention to the potentially dangerous. The duct injury will be cured with proper management early after operation.
作者 刘升能
出处 《河北医学》 CAS 2009年第3期338-340,共3页 Hebei Medicine
关键词 基层医院 胆囊切除术 胆管损伤 Primary hospitla Cholecystectomy Duct injury
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  • 1Stater K, Strong RW, Wall DR, et al. Iatrogenie bile duct injury:the scourge of laparoscopic cholecystectomy [ J ]. Aust N Z Surg,2002 ,72 :83 - 88.
  • 2胡国庆,王学志,孙保军,邵俊.医源性胆管损伤的原因分析与处理[J].外科理论与实践,2003,8(2):149-150. 被引量:31
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