胆道手术后胆漏的诊治分析  

Diagnosis and treatment of bile leakage after bile duct surgery

作　　者：叶卫雄 王健[1] 龚芝舵[1] 

机构地区：[1]建德市第一人民医院外科,浙江杭州311600

出　　处：《全科医学临床与教育》2008年第2期133-134,共2页Clinical Education of General Practice

摘　　要：目的探讨胆道手术后胆漏的原因及治疗。方法回顾分析54例胆道手术胆漏病人的临床资料。结果54例病人术后发生胆漏,T管安置不当4例,胆道变异处理不当39例,胆囊管残端结扎线松动脱落2例,胆总管一期缝合缝合口漏2例,拔T管后出现胆漏7例。结论胆道手术后发生胆漏的原因是多方面的,其中对变异胆道处理不当是主要原因,正确处理肝外胆道变异,对预防术后胆漏的发生有重要的意义。Objective To discuss the diagnosis and treatment of bile leakage after bile duct surgery. Methods The clinical data of 54 cases with bile leakage were reviewed retrospectively. Results Of the 54 patients, out of place of T tube in 4, improper manipulation of bile duct variation in 39, ligation loosening of cystic duct in 2, anastomotic leaks of the primary suture of the bile duct in 2 ,bile leakage after removal of T tube in 7. Conclusion Of the multiple reasons of bile leakage, improper manipulation of duck vaiation is mainly reason,Correct indentifying of duct vaiation is of significance to prevent bile leakage.

关 键 词：胆道手术 胆漏 诊断和治疗 

分 类 号：R657.4[医药卫生—外科学] R656.6[医药卫生—临床医学]