肝胆术后出现胆漏常见原因以及临床防治措施

Research on common reasons and clinical prevention and treatment measures of bile leakage after gallbladder surgery

目的：探讨肝胆手术后胆漏的常见原因以及临床防治措施．方法：选取2013-04／2014-02在我院肝胆外科行肝胆手术后出现胆漏的50例患者作为本次临床观察的研究对象，回顾性分析患者资料及出现胆漏的原因，探讨防治措施．结果：50例患者中，10例（20．0％）行手术治疗胆漏，40例（80．0％）行非手术治疗．在40例非手术治疗的患者中，32例常规引流，8例穿刺置管引流．在治疗15～30d后，所有胆漏患者均痊愈出院，所有患者均未出现并发症．结论：肝胆外科手术之后，发生胆漏的原因很多．在胆漏的综合治疗中，要进行充分的引流，预防感染，这样才能更好地减轻患者的痛苦，促使患者更快恢复健康．

AIM： To investigate the common reasons and clini- cal prevention and treatment measures of bile leakage occurs after gallbladder surgery. METHODS： 50 patients admitted to the hospital from April 2013 to February 2014 who had the hepatobili- ary surgery were selected as research subjects in this clinical ob- servation. Patients＇ data were retrospectively analyzed, and pre- vention and treatment measures were discussed. RESULTS： A- mong 50 patients, 10 （20.0%） cases got surgical treatment for bile leakage. The other dO （80.0%） cases got non-surgical treat- ment for bile leakage, in which 32 cases received conventional drainage and the remaining 8 cases received puncture catheter drainage. All patients with bile leakage after 15 ~ 30 days＇ treat- ment were cured without complications. CONCLUSION： The causes of bile leakage after hepatobiliary surgery were multiple. It＇s necessary to perform fully drainage to prevent infection so that patients can be relieved from suffering and their health can be restored prompdy.