医源性胆管损伤47例  

Iatrogenic biliary tract injury in 47 cases

作　　者：石献洲[1] 卢军华 赵国强[1] 王怀志[1] 汪海[1] 高俊[1] 张勤[1] 

机构地区：[1]武警河南总队医院普通外科,郑州450052 [2]上海东方肝胆医院胆道二科

出　　处：《中国实用医刊》2011年第15期57-59,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨医源性胆管损伤的原因、重建时机及胆道重建技术等对疗效的影响。方法回顾性分析47例医源性胆管损伤患者的临床资料。结果本组无手术死亡病例。随诊2～10年，疗效优者41例，优良率达93．6％。结论熟悉解剖关系、丰富的手术经验和思想重视对预防医源性胆管损伤至关重要，胆管损伤的治疗效果主要受再次手术的时间、胆道修复技术等因素的影响。Objective To study the causes of iatrogenic biliary tract injury （IBDI） and the effect of biliary tract reconstruction on the treatment results. Methods The clinical datas of 47 patients with IBDI who had been admitted to our hospital were retrospectively analyzed. Results There was no operative mortality in this group and 41 cases （93.6%） have obtained excellent treatment efficacy. Conclusions It is important for the operator with in formed knowledge of anatomy, good experience and deep consideration to precaution of IBDI. The efficacy of treatment on IBDI is mainly dependent on the choice of the time of reoperation and technique of reconstruction of biliary tract.

关 键 词：胆囊切除术 医源性胆管损伤 胆道重建 

分 类 号：R657.4[医药卫生—外科学]