LC术后胆总管扩张的原因及处理  

The Causes and Treatment of Bile Duct Dilatation after Laparoscopic Cholecystectomy

作　　者：王峻[1] 何涛[1] 张勇[1] 胡洪[1] 靳波[1] 

机构地区：[1]玉溪市人民医院普外二科,云南玉溪653100

出　　处：《中国医药指南》2014年第1期40-41,共2页Guide of China Medicine

摘　　要：目的分析腹腔镜胆囊切除术(LC)后胆总管扩张的原因及处理措施。方法回顾性分析2003年2月至2012年2月我院收治的48例LC术后胆总管扩张的患者的临床资料。结果本组48例实施LC术的患者,都出现了程度不一的胆总管扩张。患者胆总管扩张的原因有生理性代偿性扩张(35.4%)、合并肝内外胆管结石(16.7%)、急性胆管炎(12.5%)等。结论应该仔细分析LC术后胆总管扩张的原因,及时采取有效的处理措施。Objective To analyze laparoscopic cholecystectomy bile duct dilatation causes and treatment measures. Methods A retrospective analysis of our hospital 48 cases of laparoseopie cholecystectomy choledochectasia clinical data from February 2003 to February 2012. Results The group of 48 cases of laparoscopic cholecystectomy patients has suffered varying degrees of bile duct dilatation. Patient physiologic reasons choledochectasia compensatory expansion （35.4 %）, hepatic and extra hepatic bile duet stones （16.7 %）, acute cholangitis （12.5 %） and so on. Conclusion It should be a careful analysis of laparoscopic cholecystectomy choledochectasia reasons and give the patient time to take effective measures to deal with.

关 键 词：腹腔镜胆囊切除术 胆总管扩张 

分 类 号：R657.4[医药卫生—外科学]