肝移植术后不同胆道引流方式胆漏发生率的比较(附50例报告)  

Study on the Incidence Rate of Bile Leakage Resulted from Different Bile Draining Ways After Liver Transplantation

作　　者：江艺[1] 吕立志[1] 胡还章[1] 张绍庚[1] 张小进[1] 陈永标[1] 杨芳[1] 潘凡[1] 张坤[1] 蔡秋晨[1] 魏为明[1] 林华[1] 

机构地区：[1]南京军区福州总医院肝胆外科研究所,全军器官移植中心,福建福州350025

出　　处：《解剖与临床》2007年第3期177-179,共3页Anatomy and Clinics

摘　　要：目的:探讨肝移植术后最佳胆道引流方式。方法:分析50例肝移植技术与不同胆道引流方式对术后胆道并发症的影响。结果:50例肝移植发生胆漏7例,发生率14.0%。采用小直径直管(硬膜外导管)作胆道引流管的患者术后胆漏发生率3.7%(1/27),低于“T”形管和小儿细吸痰管胆漏发生率45.5%(5/11)(P=0.005)。7例中,6例治愈,1例死于胆漏腹腔感染。结论:小直径直管胆道引流可避免“T”管引流与不放引流管的缺点,硬膜外导管是最佳选择。Objective：To Study the strategy against bilairy tract complication after liver transplantation. Methods ：To analyze the data of 50 patients with end stage liver disease treated by orthotropic liver transplantation. Results：Among the 50 patients,7 had bile leakage （ 14% ）. The bile leakage incidence rate in the patients who adopt extradural tube leading bile（ 3.7%, 1/27 ） was significantly lower than those with T type tube leading bile （42.9% ,3/7 ） and child sputum suction tube leading bile （ 50.0% , 2/4） （ p = 0.005 ）. 6 of 7 patients with bile leakage were cured,another patient died of abdominal cavity infection. Conclusions：The bile draining by extradural tube could avoid the defect that result from ＂T＂ type tube drain or without drainage tube. The epidural catheter is a best eligible.

关 键 词：肝移植 胆道并发症 胆漏 

分 类 号：R657.3[医药卫生—外科学] R657.4[医药卫生—临床医学]