胆漏试验在预防肝切除术后胆漏的作用  

Value of intraoperation bile leakage test in preventing postoperation bile leakage after liver resection

作　　者：刘志毅[1] 戴春雷[1] 李丹[1] 金虎[1] 张红裔[1] 翟春亮[1] 谷洋[1] 刘明[1] 

机构地区：[1]吉林大学第四医院普通外科,长春130011

出　　处：《中国综合临床》2011年第2期200-202,共3页Clinical Medicine of China

摘　　要：目的评价术中胆漏试验预防肝切除术后胆漏的作用。方法81例肝切除患者随机分2组。试验组（41例）应用脂肪乳（无菌）自胆囊管注入，观察肝断面的渗漏情况，及时处理渗漏点，对照组（40例）应用常规方法处理肝断面。分析2组术后胆漏发生率。结果试验组术后发生胆漏1例（2．4％），对照组6例（15．0％），2组差异有统计学意义（x^2=4．04，P〈0．05）。结论术中胆漏试验能够有效预防肝切除术后胆漏的发生，并不增加其他并发症的概率。Objective To evaluate the value of intraoperative bile leakage test during liver resection in preventing postoperation bile leakage. Methods Eighty-one cases were randomly divided into two groups,in the test group （41 cases） white fat emulsion（sterilized） was injected into common bile tract through cyst bile duct, the leakage points on the transect surface were observed and disposed. In the control group （40 cases） the transect surface were disposed by regular methods. The rate of postoperation bile leakage in the two groups were analyzed. Results The rate of postoperation bile leakage in the test group was 2. 4% （ n = 1 ）, and the rate of postoperation bile leakage in the control group was 15% （n = 6）. There was significant difference between the two groups （X2 = 4.04, P 〈 0. 05 ）. Conclusion The white bile leakage test is effective in preventing the postoperation bile leakage during liver resection and does not increase other complications.

关 键 词：胆漏试验 胆漏 肝切除 

分 类 号：R657.4[医药卫生—外科学]