高龄患者胆道再次手术的原因与防治策略  

Causes of reoperation of biliary tract in elderly patients and its prevention and control strategies

作　　者：何聿波 

机构地区：[1]泗阳县人民医院,江苏宿迁223700

出　　处：《包头医学院学报》2017年第1期18-20,共3页Journal of Baotou Medical College

摘　　要：目的:探讨高龄患者胆道再次手术的原因,制定针对性的防治策略。方法:选择接受再次胆道手术治疗的高龄患者46例,对其临床资料进行回顾性分析,统计所有患者再次手术的原因,深入分析后制定针对性的防治策略。结果:高龄患者胆道近期再次手术的原因有腹腔出血、胆漏、肠漏、胆管损伤等;高龄患者胆道远期再次手术的原因有胆道残留结石或复发结石、胆道恶性肿瘤、残余胆囊病灶、胆肠吻合口狭窄等;46例患者接受手术治疗后均痊愈出院。结论:高龄患者胆道再次手术的原因复杂多样,开展治疗的过程中应选择合理的手术方式、重视术前准备和术中仔细探查。Objective ：To investigate the cause of reoperation of biliary tract in elderly patients, so as to develop prevention and cure strategy. Methods ：46 Elderly patients with biliary tract reoperation treatment were enrolled as the research object, and the clinical data were retrospectively analyzed. Reasons for reoperation in all these patients were conducted in - depth analysis with statistics, after which the prevention and control strategy was put forward. Results：The reasons for the recent biliary reoperation of elderly patients contained abdominal bleeding, bile leakage, in- testinal leakage, bile duct injury ; causes of long - term biliary reoperation in elderly patients were residual stones of biliary duct or recurrent calcu- li, biliary malignant tumor, residual gallbladder lesions, anastomotic stenosis. 46 patients who underwent surgery for treatment were cured. Conclu- sion：The causes of reoperation of biliary tract in elderly patients are various, so it attaches great importance to reasonable operation option, ade- quate preoperative preparation and careful intraoperative exploration in the specific process for carrying out the treatment.

关 键 词：胆道 再次手术 高龄患者 原因 防治策略 

分 类 号：R657.4[医药卫生—外科学]