胆道术后腹腔胆汁积聚的诊断与处理

Diagnosis and management of abdominal collection of biliary fluid postoperative biliary surgery

目的 总结胆道术后腹腔胆汁积聚的诊断与处理经验。方法 将 3 6例胆道术后腹腔胆汁积聚分为无症状、急性弥漫性腹膜炎和局限性腹膜炎三组 ,比较其临床表现和处理方法。结果 及时发现和处理病例合并症发生率明显低于延迟发现和处理病例。结论 腹腔胆汁积聚应分为无症状、急性弥漫性腹膜炎和局限性腹膜炎三类以便于处理 ;胆汁积聚及时发现并予以穿刺或引流 。

Objective To sum up the experience of diagnosis and management of postoperative abdominal bile collection of biliary fluid .Methods Analysis of 36 cases admitted in our department with postoperative abdominal biliary fluid collection were studied and treated in our department.Clinically,these cases can be divided into three groups according to their manisfestation,including asymptomatic cases,acute diffuse peritonitis and cases with obscure clinical course.The clinical feature and morbidities of these three groups were compared.Result The morbidities of cases detected collections of biliary fluid and managed in time were significant lower than that of the cases detected and managed out of time.Conclusions Clinically postoperative collection of abdominal biliary fluid might be divided into asymptomatic cases,acute diffuse peritonitis and cases with obscure course by us,it is for the sake of early diagnosis and immediate management.The diagnosis in time and immedate aspiration or drainage will save the patient from adverse morbidities.