蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2001年
3期
222-223
,共2页
腹腔镜术%胆囊切除术%胆汁
腹腔鏡術%膽囊切除術%膽汁
복강경술%담낭절제술%담즙
目的：探讨腹腔镜胆囊切除术(LC)中胆囊破损、胆汁溢入腹腔的原因和预防及腹腔冲洗的选择与方法。方法：52例胆汁外溢中，18例腹腔冲洗，34例不冲洗。结果：冲洗组术后出现发热或下腹不适5例(27.78%)，非冲洗组2例(5.88%)。全组均无腹腔残余感染发生。结论：摒弃传统对所有胆汁外溢病例不加选择进行腹腔冲洗的做法，建议选择性地对感染性胆汁、泥沙状稠厚胆溢或伴有出血影响术野者，选用改变体位的少量、多次、多部位冲洗法。
目的：探討腹腔鏡膽囊切除術(LC)中膽囊破損、膽汁溢入腹腔的原因和預防及腹腔遲洗的選擇與方法。方法：52例膽汁外溢中，18例腹腔遲洗，34例不遲洗。結果：遲洗組術後齣現髮熱或下腹不適5例(27.78%)，非遲洗組2例(5.88%)。全組均無腹腔殘餘感染髮生。結論：摒棄傳統對所有膽汁外溢病例不加選擇進行腹腔遲洗的做法，建議選擇性地對感染性膽汁、泥沙狀稠厚膽溢或伴有齣血影響術野者，選用改變體位的少量、多次、多部位遲洗法。
목적：탐토복강경담낭절제술(LC)중담낭파손、담즙일입복강적원인화예방급복강충세적선택여방법。방법：52례담즙외일중，18례복강충세，34례불충세。결과：충세조술후출현발열혹하복불괄5례(27.78%)，비충세조2례(5.88%)。전조균무복강잔여감염발생。결론：병기전통대소유담즙외일병례불가선택진행복강충세적주법，건의선택성지대감염성담즙、니사상주후담일혹반유출혈영향술야자，선용개변체위적소량、다차、다부위충세법。
Objective:To study the causes and preventive methods ofgallbladder breakage and flow of gall into abdomen in laparoscopic cholecystectomy(LC) and to analyze relevant intra-abdominal flushing.Methods:Eighteen cases with intra-abdominal flushing and 34 cases without intra-abdominal flushing among the 52 cases of flow of bile into abdomen were observed.Results:Five cases of fever or lower abdominal disorder appear in the flushing group and 2 cases in the non-flushing group(accounting for 27.78% and 5.88% respectively).Comparison of the two groups indicates that the proportion of adverse effects in the non-flushing group is lower that in the flushing group(P＜0.05).There is no postoperative infection in the non-flushing group.Conclusions:The traditional indiscriminate choice of intra-abdominal flushing for bile overflow shall be abandoned and the flushing with small-amount liquid for many times and for different locations while changing the position of the body shall be adopted for the patients with infected bile,with flow of sand-like thick bile or with bleeding which affects visual field.
