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腹腔镜胆囊切除术胆管损伤52例临床分析

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摘要 目的分析总结腹腔镜胆囊切除术胆管损伤的诊治经验。方法回顾性分析近年来收治的52例腹腔镜胆囊切除术胆管损伤患者的临床资料。结果 52例患者,术中发现胆管损伤7例,术后发现4例,外院转入41例;直接破口修补3例,T管引流24例,腹腔引流10例,经内镜鼻胆管引流2例,腹腔穿刺引流6例,胆肠Roux-en-Y吻合6例,1例转入时已病危,经治疗无效死亡。术后随访2例术后胆管狭窄经再次手术治愈。结论应根据损伤的具体情况分别行保守、内镜、腹腔引流、T管引流及手术治疗,预防重于治疗。
作者 王甲林 王林
出处 《现代医药卫生》 2012年第8期1180-1181,共2页 Journal of Modern Medicine & Health
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