医源性胆道损伤42例临床分析  

Latrogenic bile duct injuries:a clinical analysis of 42 cases

作　　者：洪磊[1] 项和平[1] 耿小平[1] 

机构地区：[1]安徽医科大学第二附属医院,合肥230601

出　　处：《肝胆外科杂志》2012年第6期436-437,共2页Journal of Hepatobiliary Surgery

摘　　要：目的探讨医源性胆管损伤的原因及处理方法。方法回顾分析安徽医科大学第一附属医院及安徽医科大学第二附属医院2007～2012年间收治的42例胆管损伤病人的临床资料。结果 42例中9例行胆道修补术,7例行胆道端端吻合术,26例行胆总管空肠Roux-en-y吻合术,其中40例痊愈出院,2例因反复腹盆腔感染,胆道感染死亡。结论术中发现胆管损伤及时修复成功率最高,再次手术修补方式以肝总管空肠Roux-en-y吻合术应用最广泛。Objective To investigate the reasons and treatment of iatrogenic bile duct injuries.Methods The clinical data of 42 patients with Iatrogenic bile duct injuty（IBDI） treated from 2007~2012 in the first affilicated hospital of anhui medic university and the second affilicated hospital of anhui medic university were analyzed retrospectively.Result Of all 42 cases,11 cases were treated by directly sewed,9 cases were treated by bile duct anastomosis to the side and other 22 cases were treated by Roux-en-y anastomosis of bile duct and jejunum.Then 40 cases recovered smoothly,2 cases died in infection of bile duct and belly cavity.Conclusion The success rate is high when it was found during operation and repaired immediately and Roux-en-y hepatico-jejunostomy has been performed widely at present in bile duct repaired operation.

关 键 词：医源性胆道损伤 肝肠吻合 

分 类 号：R657.4[医药卫生—外科学]