拔T管后胆漏的防治体会(附12例临床分析)

Prophylaxis and Treatment of Biliary Fistula after the Removal of T-Tube:Report of 12 Cases

目的:探讨拔T管后出现胆漏的预防和治疗。方法:对1986～2006年间取T管后发生胆漏的12例临床资料作回顾性分析。结果:12例经保守治疗后均痊愈。结论:拔T管后胆漏的发生是多因素的结果,改进手术技巧,适当延长拔T管的时间有助于预防胆漏的发生。胆漏发生后及时用导尿管置入窦道作引流是首选的治疗方法。

Objective：To investigate the prophylaxis and treatment of biliary fistula after removal of T-tube.Methods：The clinical data of 12 patients with biliary fistula after removal of T-tube from 1986 to 2006 were analyzed retrospectively.Results：Fistula was cured with conservative treatment in 12 patients.Conclusion：Many factors may affect the development of biliary fistula after removeal of T-tube.Improvement of surgercial technique and the proper prolongation for the time of removal of T-tube may contribute to prophylaxis the biliary fistula.Inserting a Nelaton＇s catheter into the sinus tract to drain is the first choice to treat the local bile peritonitis that has occurred.