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创伤性胆管损伤的诊断和治疗 被引量:4
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作者 高志清 尤楠 刘卫辉 《肝胆胰外科杂志》 CAS 2011年第4期267-268,共2页
创伤性胆管损伤较少见,尤其是单纯性胆管损伤更为罕见。创伤性胆管损伤常为合并伤,其他脏器损伤的临床表现掩盖了胆管损伤。因此常可漏诊和误诊造成不良后果。以下谈谈对创伤性胆管损伤的诊断和治疗体会。
关键词 创伤性胆管损伤 诊断 胆管手术
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Changing patterns of traumatic bile duct injuries:a review of forty years experience 被引量:37
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作者 Zhi-Qiang Huang Xiao-Qiang Huang Research Institute of General Surgery,The General Hospital of Chinese PLA,Beijing 100853,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2002年第1期5-12,共8页
AIM:To summarize the experiences of treating bile ductinjuries in 40 years of clinical practice.METHODS:Based on the experience of more than 40 yearsof clinical work,122 cases including a series of 61 bile ductinjurie... AIM:To summarize the experiences of treating bile ductinjuries in 40 years of clinical practice.METHODS:Based on the experience of more than 40 yearsof clinical work,122 cases including a series of 61 bile ductinjuries of the Southwest Hospital,Chongqing,and 42cases(1989-1997)and 19 cases(1998-2001)of the GeneralHospital of PLA,Beijing,cases were reviewed with specialreference to the pattern of injury.A series of cases of theliver and the biliary tract injuries following interventionaltherapy for hepatic tumors,most often hemangioma of theliver,were collected.Chinese medical literature from 1995 to1999 dealing with 2742 traumatic bile duct strictures werereviewed.RESULTS:There was a changing pattern of the bile ductinjury.Although most of the cases of bile duct injuriesresulted from open cholecystectomy.Other types of traumasuch as laparoscopic cholecysiectomy(LC)and hepaticsurgery were increased in recent years.Moreover,serioushepato-biliary injuries following HAE using sclerotic agentssuch as sodium morrhuate and absolute ethanol for thetreatment of hepatic hemangiomas were encountered inrecent years.Experiences in how to avoid bile duct injuryand to treat traumatic biliary strictures were presented.CONCLUSION:Traumatic bile duct stricture is one of theserious complications of hepato-biliary surgery,itsprevalence seemed to be increased in recent years.Thepattern of bile duct injury was also changed and has becomemore complicated.Interventional therapy with sclerosingagents may cause serious hepatobiliary complications andshould be avoided. 展开更多
关键词 创伤性胆管损伤 临床分析 胆管外科 并发症 医源性损伤
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