摘要
目的探讨肝切除术患者术后并发肝断面胆漏的原因及防治措施。方法选择2013年1月~2015年6月在我院接受肝切除术后发生肝断面胆漏患者34例为研究对象,对其术后胆漏原因作回顾性分析;将其随机分为两组,对照组患者进行非手术治疗,观察组患者实施手术治疗,对比两组患者的临床疗效。结果对照组患者的治疗总有效率为64.7%,低于观察组患者的100%,两组对比差异具有统计学意义（P〈0.05）。手术方式、医生手术操作的熟练度、切口变异等是患者术后发生胆漏的主要原因。结论手术前明确患者肝胆部分的解剖学特征、严格按照操作标准进行手术、妥善安置T管等能够有效降低肝切除术后肝断面胆漏发生率,提升患者的治疗效果。
Objective To investigate the cause and prevention of bile leakage after liver resection for patients. Methods 34 cases of liver bile leakage after liver resection in our hospital from January 2013 to June 2015 were studied. The causes of bile leakage were retrospectively analyzed. The patients were randomly divided into two groups. The control group was treated with non operative treatment. The clinical efficacy of the two groups were compared. Results The total effective rate was 100% in the observation group,and the control group was 64.7%,in the two groups, the difference was statistically significant. The operation mode,the operation skill and the variation of the incision were the main causes of the bile leakage after operation. Conclusion The anatomic characteristics of the patients with liver and gallbladder,and the operation and proper placement of T tube can effectively reduce the incidence of bile leakage after hepatectomy.
出处
《中国卫生标准管理》
2015年第21期21-22,共2页
China Health Standard Management
关键词
肝切除术
肝断面胆漏
原因
治疗
Liver resection
Bile leakage
Cause
Treatment
