肝胆外科患者术后胆漏的原因及对策分析  

Reasons and Countermeasures of hepatobiliary surgery in patients with bile leakage

作　　者：邹华[1] 

机构地区：[1]四川省达州市中西医结合医院肝胆外科,四川达州635000

出　　处：《西藏医药》2016年第3期36-38,共3页Tibetan Medicine

摘　　要：目的探究肝胆外科患者手术后胆漏的原因以及对策。方法回顾性分析我院术后胆漏60例临床资料,按数字奇偶法分为两组,每组30例,对照组常规治疗,研究组按胆漏原因进行相关处理。结果在研究组感染与开腹手术率分别为6.67%、3.33%,明显低于对照组80.00%、33.33%,研究组胆漏被控制率为96.67%,优于对照组66.67%,差异存在统计学意义(p<0.05)。结论肝胆外科术后胆漏主要原因是肝外胆管损伤、迷走胆管损伤以及胆管残端钛夹闭合不全或者脱落等,给予抗感染治疗、适当禁食、营养支持对胆漏机率降低效果显著。Objective To explore the reasons HEPA to biliary surgery inpatients with post-operative bile leakage and countermeasures. Methods A retrospective analysis of bile leakage after surgery in our hospital clinical data of 60 patients divided into two groups according to figures parity method, n = 30, control group conventional treatment, the observation group were treated by bile leakage related reasons.Results In the study group and laparotomy infection rates were 6.67%, 3.33%, significantly lower than the control group, 80.00%, 33.33%, the study group was bile leakage control rate was 96.67%, 66.67% better than the control group, there was significant difference significance（P〈0.05）.Conclusion Hepatobiliary surgery biliary leakage mainly extrahepatic bile duct injury, vagus bile duct injury and bile duct stump titanium clip closure failure or loss and other, anti-infection treatment, appropriate fasting, nutritional support to reduce the chances of bile leakage effect is remarkable.

关 键 词：胆漏 肝胆外科 原因分析 对策 

分 类 号：R657.3[医药卫生—外科学]