解剖变异与医源性胆道损伤关系的临床研究  

Study on Relation of Dissect Variation and Iatrogenic Biliary Duct Injury

作　　者：崔宏[1] 

机构地区：[1]中国人民解放军第153中心医院普外科,郑州市450042

出　　处：《医药论坛杂志》2003年第16期31-32,34,共3页Journal of Medical Forum

摘　　要：目的　探讨解剖变异与医源性胆道损伤的关系。 方法　对我院 1978年 5月～ 2 0 0 2年 12月有详细资料记载的医源性胆道损伤 2 2例患者进行回顾性分析。 结果　解剖变异的部位 :胆囊及胆囊管 5例 ,胆囊动脉 2例 ,肝动脉 3例 ,右副肝管 1例 ,左肝管及右肝管各 1例。 结论　解剖变异是医源性胆道损伤的重要原因。而术前、术中胆道造影有助于判别解剖变异 ,降低损伤率。Objective To discuss the relation of dissect variation and iatrogenic biliary duct injury.Methods From 1978.5～2002.12,22 patients with iatrogenic biliary duct injury who have detailed information record were studied retrospectively.Results dissect the position of variation:gallbladder and gallbladder tube 5 cases,gallbladder artery 2 cases,liver artery 3 cases,right associate liver tube 1 case,each 1 case of the right and left liver tube.Conclusion dissect variation is the important reason of iatrogenic biliary duct injury.And before operation and during operation,the road radiography is helpful to differentiate dissect variation,reduce biliary duct injury rate.

关 键 词：解剖变异 医源性胆道损伤 临床研究 胆道造影 

分 类 号：R657.4[医药卫生—外科学]