胆道探查术中胆总管下端损伤的分析  

Diagnosis and Treatment of Injury at the End of Common Bile Duct in the Exploration of Biliary Tract:a Report of 5 Cases

作　　者：李波[1] 贺凯[1] 张孟瑜[1] 冯春红[1] 方程[1] 李秋[1] 黎靖[1] 夏先明[1] 雷正明[1] 

机构地区：[1]泸州医学院第一附属医院肝胆外科,四川泸州646000

出　　处：《中国临床医学》2008年第3期350-351,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨胆道探查术中医源性胆总管下端损伤的原因。方法:总结自2003年5月—2007年4月,415例胆道探查术中5例(1.2%)胆总管下端损伤的原因。结果:胆道探查术中不正确使用金属探条易损伤胆总管下端。结论:胆道探查术中规范操作是防止胆总管下端损伤的有效措施,及时发现损伤并对损伤部位进行合理有效的处理是改善患者预后的一种方法。Objective：To investigate the causes of accidental injury at the end of the common bile duct during exploration of biliary tract and its treatment.Methods：A retrospective clinical analysis was made on 5 cases suffering from iatrogenic injuries in 415 patients with exploration of biliary tract from May.2003 to Apr.2007.Results：The end of common bile duct was easy to be injured by metallic probe in the exploration of biliary tract due to malpractice and unfamiliar with the anatomy of bile duct.Conclusion：Standard procedure is effective to prevent biliary injury in the exploration of biliary tract.Timely finding,immediate local repair and thorough drainage is essential to improve the prognosis.

关 键 词：胆总管探查术 胆管损伤 

分 类 号：R657.4[医药卫生—外科学]