中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
4期
228-229
,共2页
胆管损伤%胆囊切除术%胆囊炎
膽管損傷%膽囊切除術%膽囊炎
담관손상%담낭절제술%담낭염
Bile duct injury%Cholecystectomy%Cholecystitis
目的 探讨医源性胆管损伤的原因、预防及处理.方法 对13例医源性胆管损伤的临床资料进行回顾性分析.结果 本组痊愈出院12例(92.3%),死亡1例(6.7%),术后随访8例,随访率61.5%,平均随访3年(1～5年).其中1例手术1年后反复发作胆管炎,胆道造影证实胆管狭窄,再次手术后痊愈.结论 胆囊切除术是医源性胆管损伤的主要原因,提高认识、预防损伤是关键,把握治疗时机和选择合理方法极为重要.
目的 探討醫源性膽管損傷的原因、預防及處理.方法 對13例醫源性膽管損傷的臨床資料進行迴顧性分析.結果 本組痊愈齣院12例(92.3%),死亡1例(6.7%),術後隨訪8例,隨訪率61.5%,平均隨訪3年(1～5年).其中1例手術1年後反複髮作膽管炎,膽道造影證實膽管狹窄,再次手術後痊愈.結論 膽囊切除術是醫源性膽管損傷的主要原因,提高認識、預防損傷是關鍵,把握治療時機和選擇閤理方法極為重要.
목적 탐토의원성담관손상적원인、예방급처리.방법 대13례의원성담관손상적림상자료진행회고성분석.결과 본조전유출원12례(92.3%),사망1례(6.7%),술후수방8례,수방솔61.5%,평균수방3년(1～5년).기중1례수술1년후반복발작담관염,담도조영증실담관협착,재차수술후전유.결론 담낭절제술시의원성담관손상적주요원인,제고인식、예방손상시관건,파악치료시궤화선택합리방법겁위중요.
Objective To investigate the causes, prevention and treatment of iatrogenic bile duct injur.Methods The clinical data of 13 patients with iatrogenic bile duct injury treated in our hospital were retrospectively analyzed. Results Of the 13 patients, 12 (92.3 %)were cured and 1 died (6.7%),8 patients (61.5%)were followed up for an average of 3 years. 1 patient received reoperation due to bile stricture. Conclusion Cholecystectomy is the most common reason for the iatrogenic bile duct injury. Improvement in understanding and prevention of the injury is very important. Meanwhile, grasping the chance of treatment and choosing easonable approach is crucial.
