胆漏试验在肝部分切除术中预防胆漏的作用  

Role of bile leakage test in preventing bile leakage during partial liver resection

作　　者：刘志毅[1] 金虎[1] 刘明[1] 孙铁梁[1] 翟春亮[1] 谷洋[1] 吕洪亮[1] 

机构地区：[1]吉林大学第四医院肝胆外科,长春130011

出　　处：《中华全科医师杂志》2014年第2期139-141,共3页Chinese Journal of General Practitioners

摘　　要：采用随机对照研究方法,观察53例术中应用脂肪乳（无菌）自胆囊管注入行胆漏试验预防肝部分切除术后胆漏发生的效果,并以应用常规方法处理肝断面的54例患者为对照,分析两组术后胆漏发生率及其他并发症的发生率.试验组术后胆漏4%（2/53）,对照组胆漏15%（8/54）,两组差异有统计学意义（P〈0.05）;其他并发症的发生率差异无统计学意义（P＞0.05）.提示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发生几率.To evaluate the value of an intraoperative bile Leakage test during liver resection in the prevention of bile leakage after hepatic resection. A sterile fat emulsion was injected through the duct of gallbladder among patients from the treatment group so as to observe leakage status on hepatic resection plane; the leakage points were timely handled. The hepatic resection plane was treated with conventional methods among patients from the control group. The incidence rates of bile leakage and other complications were analyzed between two groups. Two （4%） of 53 patients from the treatment group had bile leakage versus 8 （ 15% ） of 54 patients from the control group. Signifieant differences existed between two groups in terms of the incidence of bile leakage （ P 〈 0. 05 ）. As for the incidence of other complications, no signifieant differenees existed between two groups （P 〉 0. 05 ）. An intraoperative bile leakage test is sensitive in deteeting interoperative bile leaks and can efl＇eetively prevent bile leakage afier hepatic resection. And it does not increase the likelihood of other complications.

关 键 词：手术后并发症 胆漏 肝切除术 

分 类 号：R657.3[医药卫生—外科学]