外科引流在肝切除术中的临床应用

The clinical application of surgical drainage for hepatectomy

目的 探讨外科引流在肝脏切除术中的临床应用价值。方法 回顾性总结了 10年来行肝切除术 172例 ,术中常规于膈下和 /或肝下放置多侧孔硅胶管引流 ,术后经引流管观察出血、胆漏、膈下感染情况。结果 术后早期大出血 4例 (2 .3% ) ,再次手术后止血 3例 ,死亡 1例 ;并发胆漏5例 (2 .9% ) ,引流 3周～ 2个月自愈 4例 ,1例死于感染和衰竭 ;并发膈下感染 5例 (2 .9% ) ,2例经局部冲洗及引流后治愈 ,3例再次手术 (其中 1例死于术后衰竭 )。结论 外科引流技术对肝切除术后再出血、胆漏。

Objective To investigate the clinical values of surgical drainage for hepatectomy.Methods Drainage tube was implanted under diaphragm and/or liver intraoperatively for 172 cases patients undergone hepatectomy since recent 10 years.The complications,including bleeding,bile seeping and subdiaphragmatic infection,were observed postoperatively through the drainage tube.Results 4 cases of bleeding and 5 bile seeping and 5 subdiaphragmatic infection were found.Conclusions The surgical drainage technology had important clinical significance for monitoring,preventing and treating of bleeding and bile seeping and subdiaphragmatic infection after hepatetomy.