肝胆外科手术后胆漏原因分析及治疗策略分析  

Analysis of Causes and Treatment Strategies of Bile Leakage After Hepatobiliary Surgery

作　　者：张则才 吴涛 杨巧丽 ZHANG Ze - cai;WU Tao;YANG Qiao - li(Hebi People s Hospital,Hebi,Henan,458030,China)

机构地区：[1]鹤壁市人民医院,河南鹤壁458030

出　　处：《黑龙江医学》2018年第12期1165-1166,共2页Heilongjiang Medical Journal

摘　　要：目的探讨肝胆外科手术后胆漏原因分析及治疗策略。方法选择2017年2月—2018年6月间收治的90例肝胆外科手术后胆漏患者随机分组,对照组遵循常规治疗对策,实验组落实针对性治疗对策。比较两组肝胆外科手术后胆漏患者治疗效果;住院的时间、胆漏症状改善时间;治疗前后患者SF-36量表分值;手术后胆漏原因。结果实验组肝胆外科手术后胆漏患者治疗效果高于对照组;实验组住院的时间、胆漏症状改善时间优于对照组;治疗前两组SF-36量表分值相似;治疗后实验组SF-36量表分值优于对照组。实验组手术后胆漏原因和对照组相似。结论针对性治疗对策在肝胆外科手术后胆漏治疗中的干预结果确切,可改善患者症状,缩短治疗的时间,改善患者的生活质量,胆漏的原因有胆囊切除和肝癌切除等。Objective To investigate the causes and treatment strategies of bile leakage after hepatobiliary surgery.Methods90patients with biliary leakage after hepatobiliary surgery from February,2017to June,2018were randomly divided into control group and experimental group.The treatment effects of patients with bile leakage after hepatobiliary surgery,the time of hospitalization,the time of improving the symptoms of bile leakage,the score of SF-36scale before and after treatment,and the causes of bile leakage after operation were compared.Results The therapeutic effect of patients with biliary leakage after hepatobiliary surgery in the experimental group was higher than that in the control group.The scores of SF-36scale in the two groups were similar before treatment,and the scores of SF-36scale in the experimental group were better than those in the control group.The causes of bile leakage in the experimental group were similar to those in the control group.Conclusion The intervention results of the targeted treatment in hepatobiliary surgery can improve the symptoms of patients,shorten the time of treatment,improve the quality of life of patients.The causes of bile leakage are cholecystectomy and hepatectomy.

关 键 词：肝胆外科手术 胆漏原因分析 治疗策略 

分 类 号：R575[医药卫生—消化系统]