医源性胆管损伤的外科处理

SURGICAL TREATMNET OF IATROGENIC BILE DUCT INJURY

目的 探讨医源性胆管损伤的外科处理。方法 回顾性分析近 9年的 30例医源性胆管损伤病人的外科处理。结果 30例医源性胆管损伤的病人 ,2例死亡。 1例保守治愈。随访 2 4例 (3月至 5年 )。结论 大多数医源性胆管损伤需再手术并且疗效不太理想 ,早期 (4 8小时以内 )或 4周以后修复损伤的胆管可能会减少胆管狭窄 ,提高疗效。

Objective To explore the surgical treatment of iatrogenic bile duct injury. Methods 30 patients of iatrogenic bile duct injury were reviewed and analyzed during recent 9 years.Results In 30 cases of iatrogenic bile duct damage. 2 cases were died.1 case were cured by non surgical treatment.24 cases were followed(from 3 months to 5 years). Conclusion Most cases of bile duct injury needed re operation and had poor result.Bile duct repair operation within 48hours or 4 weeks after injury will reduce the rate of bile duct stenosis and improve curative effect.We think the timing of obstructive bile duct injury should be further study.