肝胆外科术后胆瘘临床分析  

Clinical Analysis of Biliary Fistula After Hepatobiliary Surgery

作　　者：李瑞环 LI Ruihuan(Shanxi Medical University The First Hospital,Taiyuan,Shanxi,030012)

机构地区：[1]山西省太原市山西医科大学第一医院,山西太原030012

出　　处：《智慧健康》2022年第12期67-69,共3页Smart Healthcare

摘　　要：目的对肝胆外科术后胆瘘的临床治疗手段、治疗效果进行评价分析。方法研究对象为我院2019年1月-2020年6月收治的肝胆外科术后并发胆瘘患者,共计选择符合条件的56例,对临床资料展开回顾性分析,探讨肝胆术后胆瘘诱发原因以及治疗方式和效果。结果本组56例肝胆外科术后并发胆瘘患者经过积极有效的治疗后,全部获得治愈,临床治愈率为100%。患者均未出现其他合并症。56例患者术后3个月有31例患者行B超复查,结果显示为无异常;16例患者经MRCP随访或静脉胆管造影复查,结果未发现异常,其余9例患者失访。结论肝胆外科手术时,操作者手术操作的熟练程度、高度责任心、充分有效引流等因素在降低术后并发胆瘘方面均具有十分重要的意义。术后密切观察,针对已发胆瘘予以积极有效治疗,可获得理想治疗效果,值得关注。Objective To evaluate and analyze clinical treatment and effect of biliary fistula after hepatobiliary surgery.Methods The paper chose 56 patients with biliary fistula after hepatobiliary surgery in our hospital from January 2019 to June 2020 as subjects,analyzed and reviewed clinical data and explored causes,treatment methods and effect of biliary fistula after hepatobiliary surgery.Results All 56 patients with biliary fistula after hepatobiliary surgery were cured after active and effective treatment,with clinical cure rate of 100%.There were no other complications.3 months after operation,31 of 56 cases underwent B-ultrasound examination,results showed that there was no abnormality;16 cases were followed up by MRCP or intravenous cholangiography,no abnormalities were found.The other 9 cases were lost to follow-up.Conclusion During hepatobiliary surgery,proficiency degree,high sense of responsibility and sufficient and effective drainage of operators is of great significance in reducing postoperative biliary fistula.Close observation after operation,active and effective treatment can obtain ideal curative effect for biliary fistula,which is worthy of attention.

关 键 词：肝胆外科手术 胆瘘 临床治疗 

分 类 号：R657.4[医药卫生—外科学]