肝包虫病相关性胆漏13例处理及病因分析  

Treatment and etiological analysis of biliary fistula associated with liver hydatidosis:report of 13cases

作　　者：彭贤林[1] 何井华[2] 李泽文[3] 彭顺舟[1] 王晓芳[1] 赵书哲[1] 

机构地区：[1]解放军第41医院,西藏山南856100 [2]第一军医大学珠江医院普外科,广东广州510282 [3]西藏军区总医院神经外科,西藏拉萨810000

出　　处：《第一军医大学学报》2003年第1期73-74,共2页Journal of First Military Medical University

摘　　要：目的探讨肝包虫病并发胆漏的病因及治疗方法,预防或减少并发症的发生。方法1982年9月至2002年2月我院共施行肝包虫病手术1 666例,肝包虫病术后并发胆漏13例。本文对通过13例的病历资料作回顾性分析。结果本组肝包虫病相关胆漏13例,其发生率为0.78%。其中肝包虫病合并胆漏8例,占61.53%;细小副肝管或肝旁迷走胆管损伤漏3例,占15.38%;针眼漏2例,占7.69%。结论肝包虫病相关胆漏多见于肝包虫病合并有胆漏,少数病例系手术操作失误所致。因此,原病并发胆漏可通过手术得以治疗及术中规范操作来加以预防。Objective To explore the cause and the treatment of liver hydatidosis complicated by biliary fistula, to reduce or prevent the incidence of the complication. Methods From 1982 to 2002, 1 666 patients with liver hydatidosis were treated surgically in our hospital, and a retrospective analysis was conducted in 13 from the cohort, who developed biliary fisltula after the surgeries. Results The incidence of liver hydatidosis-associated biliary fistula was 0.78% (13/1666), and 8 (61.5%) out of such cases were due to the primary liver hydatidosis, 3 (15.38%) were caused by damage to the small accessory hepatic duct or parahepatic byliary duct, and 2 (7.69%) by the puncture of the needle. Conclusion Biliary fistula often arises from liver hydatidosis itself, and can be partly attributed to erroneous operation on the part of the operators, and prevention of this complication, therefore, is possible through careful operation.

关 键 词：肝包虫病 相关性胆漏 处理 病因分析 

分 类 号：R657.3[医药卫生—外科学]