18例胆漏原因分析及防治体会  

The Causes Analysis and Prevention and Treatment of 18 Cases Bile-leakage

作　　者：黄先明 余后火[2] 欧阳山 

机构地区：[1]东莞市石排镇人民医院外科,广东东莞523330 [2]咸宁学院附属第一医院普外科

出　　处：《咸宁学院学报（医学版）》2005年第5期406-407,共2页Journal of Xianning Univarsity(medical Sciences)

摘　　要：目的探讨胆漏的原因及防治策略。方法对1992年1月至2004年12月诊治的18例胆漏病人的临床资料进行回顾性分析。结果本组18例中,造成胆漏的主要原因是胆囊管残端结扎不牢或损伤(共9例,50%),其次为T管滑脱或拔管失误(共4例,22%)。治疗方面,经非手术治疗12例,手术治疗6例,治愈率达100%。结论胆漏多发生于胆囊切除术及T管拔除后,预防关键在完善首次手术,治疗方式视病情而定。Objective To study the causes, prevention and treatment of bile leakage. Methods A retrospective study was made on the clinical data of 18 patients with bile-leakage from Jan. 1992 to Sep. 2004. The causes leadding to bile-leakage and it＇s treatment efficacy were analysed respectively. Results The main causes were untight ligation or impairment on residual end of bile duct （9 cases, 50%）, then were shedding or faulty extraction of T-tube（4 cases, 22%）. 12 cases were treated with nonoperative therapy and 6 with operation, the total cure rate was 100% （18/18）. Conclusion Bile-leakage often occurs after cholecystectomy or removal of a T-tube. The treatment mode may be selected according to the degree of leakage and the condition of patients, and the key to the prevention is perfectting the first operation.

关 键 词：胆漏 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]