胆道手术后胆瘘的原因及防治  

The cause , prevention and treatment of biliary fistula after operation of biliary tract.

作　　者：雷杰[1] 费建东[1] 张迎春[1] 班玉森 马永利[3] 

机构地区：[1]张家口医学院一附院普外科,075000 [2]张家口市第五医院外科,075000 [3]河北省保定市人民医院麻醉科,071000

出　　处：《张家口医学院学报》2001年第5期14-16,共3页

摘　　要：目的:探讨胆道手术后胆瘘的原因及防治措施。方法:回顾性分析我院近10年经治的胆道手术后胆瘘18例。结果:8例采用非手术疗法治愈。10例再次手术,9例治愈,另1例经再次引流治愈。结论:胆瘘的原因多为手术方法选择不当、术中操作不仔细及术后处理失当。治疗首选非手术疗法,如胆汁漏出量大及腹膜炎弥漫宜选择手术治疗。预防上应加强围手术期处理,术中仔细操作,术后常规放置腹腔引流,拔管时要轻柔并合理掌握拔管指征。Objective: To investigate the cause , prevention and treatment of biliary fistula. Methods: The clinical data of 18 cases with biliary fistula treated during the past 10 years were analized retrospctively. Results: Eight patients were cured with nonoperative therapy. Of the 10 cases with reoperative treatment , 9 patients were cured , the remaining 1 were cured after the third operation. Conclusion: The cause of biliary fistula used to be incorrect selection of operation method , careless work in the operation and unreasonable postoperative management . Nonoperative treatment was the first selection . Operative treatment was selected while more amount of biliary leakage and diffused peritonitis . In orde to prevent the biliary fistula , adequate preoperative preparation and careful intraoperative work and intensive postsurgical care were essential .

关 键 词：术后胆瘘 胆道手术 治愈 非手术疗法 术中 治疗 原因 防治措施 选择 操作 

分 类 号：R657.4[医药卫生—外科学] R656[医药卫生—临床医学]