肝胆外科手术后胆漏的原因及防治分析

目的：针对肝胆外科手术后出现胆漏并发症的原因进行分析,提高患者的临床治疗效果。方法：通过对盐亭县中医院2013年5月至2014年5月肝胆外科收治的48例胆漏患者作为观察对象,随机分为对照组与研究组两组各24例,对照组患者采取常规手术治疗方式;研究组采取非手术治疗方式。对胆漏发生原因以及两组患者的临床治疗效果进行分析,观察两种治疗方式的疗效。结果：采用非手术治疗方式的患者2周治愈率75%明显高于对照组的50%,证明了非手术治疗方式取得了比较理想的治疗效果。结论：肝胆外科手术后胆漏患者首选非手术治疗方式来帮助患者恢复自身机体功能,可以在实际临床应用中广泛推广使用。

Objective： in view of the liver and gallbladder surgery appears to analysis the cause of bile leakage complications, improve the elinical therapeutic effect. Methods： by means of yanting hospital in May 2013 to May 2014 of 48 patients with bile leakage were admitted in liver and gallbladder surgery as research objeet, were randomly divided into control group and the team all the 24 cases in both groups, control group patients treated with routine operation way; The team take non--surgieal treatment. For bile leakage causes and clinical therapeutic effects of two groups of patients were analyzed, and the observation Qf the curative effect of two kinds of treatments. Results： patients with non--surgical treatment 2 weeks cure rate 75% to 50%, significantly higher than the control group of proved non--surgical treatment achieved ideal therapeutic effect. Conclusion： the liver and gallbladder surgery in patients with bile leakage after primary non--operative treatment to help patients restore their body function, can be widely used in the actual clinical application.