医源性胆总管远端损伤个体化诊治(附9例报道)

Individualized diagnosis and treatment of iatrogenic distal bile duct injury(9 cases)

目的探讨医源性胆总管远端损伤的不同防治方法。方法回顾性分析9例医源性胆总管远端损伤的临床资料。结果 9例病人均通过Oddi括约肌切开、长臂T管支撑引流术、单纯修补或积极外引流而得到治愈。结论医源性胆总管远端损伤的预防、术中发现及处理十分重要。根据致伤机制不同、发现时间早晚不同作出相应的个体化处理,是患者得以迅速康复的关键。

[ Objective ] To investigate the different treatment and prevention of the iatrogenic trauma in the end part of common bile duct. [Methods] Retrospective analysis was made of nine cases of the iatrogenic trauma in the end part of common bile duct. [ Results ] 9 patients were cured by Oddis sphincter incision and shaping and long limb T tube supporting, simple repair, or active external drainage. [Conclusion ] The prevention, timely intraoperatire diagnosis and treatment of the iatrogenic trauma in the end part of common bile duct is very important. The indi- vidual treatment according to different injury mechanisms, diagnosis time is a key to the speedy recovery.