中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
15期
57-59
,共3页
石献洲%卢军华%赵国强%王怀志%汪海%高俊%张勤
石獻洲%盧軍華%趙國彊%王懷誌%汪海%高俊%張勤
석헌주%로군화%조국강%왕부지%왕해%고준%장근
胆囊切除术%医源性胆管损伤%胆道重建
膽囊切除術%醫源性膽管損傷%膽道重建
담낭절제술%의원성담관손상%담도중건
Cholecystectomy%Iatrogenic biliary tract injury%Biliary tract reconstruction
目的 探讨医源性胆管损伤的原因、重建时机及胆道重建技术等对疗效的影响.方法 回顾性分析47例医源性胆管损伤患者的临床资料.结果 本组无手术死亡病例.随诊2～10年,疗效优者41例,优良率达93.6%.结论 熟悉解剖关系、丰富的手术经验和思想重视对预防医源性胆管损伤至关重要,胆管损伤的治疗效果主要受再次手术的时间、胆道修复技术等因素的影响.
目的 探討醫源性膽管損傷的原因、重建時機及膽道重建技術等對療效的影響.方法 迴顧性分析47例醫源性膽管損傷患者的臨床資料.結果 本組無手術死亡病例.隨診2～10年,療效優者41例,優良率達93.6%.結論 熟悉解剖關繫、豐富的手術經驗和思想重視對預防醫源性膽管損傷至關重要,膽管損傷的治療效果主要受再次手術的時間、膽道脩複技術等因素的影響.
목적 탐토의원성담관손상적원인、중건시궤급담도중건기술등대료효적영향.방법 회고성분석47례의원성담관손상환자적림상자료.결과 본조무수술사망병례.수진2～10년,료효우자41례,우량솔체93.6%.결론 숙실해부관계、봉부적수술경험화사상중시대예방의원성담관손상지관중요,담관손상적치료효과주요수재차수술적시간、담도수복기술등인소적영향.
Objective To study the causes of iatrogenic biliary tract injury(IBDI)and the effect of biliary tract reconstruction on the treatment results.Methods The clinical datas of 47 patients with IBDI who had been admitted to our hospital were retrospectively analyzed. Results There was no operative mortality in this group and 41 cases (93.6%) have obtained excellent treatment efficacy. Conclusions It is important for the operator with in formed knowledge of anatomy, good experience and deep consideration to precaution of IBDI.The efficacy of treatment on IBDI is mainly dependent on the choice of the time of reoperation and technique of reconstruction of biliary tract.
