肝胆外科手术后10例胆漏的原因及防治  

Causes and treatment of bile leakage after hepatobiliary surgery

作　　者：李波[1] 朱百鹏 粱震 

机构地区：[1]安徽省砀山县人民医院

出　　处：《安徽医药》2010年第10期1190-1191,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨肝胆手术后胆漏的常见原因、预防措施和治疗方法。方法回顾性分析近十年来我院诊治的10例胆漏的原因、治疗方法和结果。结果 9例经非手术治疗,其中6例常规的通畅引流、营养支持及预防感染等治疗,2～3周治愈;2例患者在B超声波引导下穿刺置管引流,3周后治愈;1例带管出院。1例患者行2次手术引流后4周治愈。结论胆漏重在预防。充分的引流是预防的关键,术后早发现、早诊断并根据胆漏的原因、漏出量以及腹膜炎的程度选择手术和非手术治疗。Aim To investigate causes and treatment of postoperative biliary leakage caused by hepatobiliary surgery.Methods The causes and treatment of 10 patients with bile leakage after hepatobiliary surgery in our hospital for recent 10 years have been analyzed ret-rospectively.Result 9 patients were treated without surgery 6 of whom treated by conventional draining,nutritional support and infection prevention were cured after 2 ～ 3 weeks;2 cured with ultrasonic-guided puncture and drainage after 3 weeks treatment;another patient discharged with catheter.1 patients were cured with operative drainage after 4 weeks.Conclusion Prevention of bile leakage is very im-portant.The key to prevetion is sufficient draining and clinical symptoms help to decide whether to treat with surgery.

关 键 词：肝胆手术 胆漏 治疗 

分 类 号：R657.4[医药卫生—外科学]