医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
13期
86-87
,共2页
肝胆外科手术%术后并发胆瘘%临床分析
肝膽外科手術%術後併髮膽瘺%臨床分析
간담외과수술%술후병발담루%림상분석
Department of hepatobiliary surgery operation%Postoperative concurrent biliary fistula%Clinical analysis
目的讨论并分析肝胆外科的患者在术后发生胆瘘的临床致病原因，总结出适当的预防以及治疗方法。方法回顾性分析我院曾经收治的25例肝胆外科手术后发生了胆瘘的患者的临床资料，对这25例病患采用保守治疗、手术治疗以及内镜治疗等治疗方法，观察并记录25例病患发生胆瘘是的临床特征，分析其致病原因，经过系列治疗后分析比较采用不同方法治疗的胆瘘患者的临床治疗效果评价，总结出适当有效的治疗方法和有效的预防措施。结果全部25例经肝胆外科手术后发生胆瘘的患者，经过系列的不同治疗后全部治愈成功。其中经保守治疗的患者有15例，占全部病例的60%，经内镜治疗的患者有4例，占全部病例的16%，经手术治疗的患者有6例，占全部病例的24%。结论肝胆外科的手术中常常会并发胆瘘，其致病因素较为复杂，包括患者方面、病理方面、操作方面等等。关于胆瘘的治疗应以非手术的治疗方法为主，并需要医护人员注重预防措施，尤其是要注意对患者的引流工作加强重视，手术过程中应该正确操作，防止因操作失误引发患者的胆瘘。
目的討論併分析肝膽外科的患者在術後髮生膽瘺的臨床緻病原因，總結齣適噹的預防以及治療方法。方法迴顧性分析我院曾經收治的25例肝膽外科手術後髮生瞭膽瘺的患者的臨床資料，對這25例病患採用保守治療、手術治療以及內鏡治療等治療方法，觀察併記錄25例病患髮生膽瘺是的臨床特徵，分析其緻病原因，經過繫列治療後分析比較採用不同方法治療的膽瘺患者的臨床治療效果評價，總結齣適噹有效的治療方法和有效的預防措施。結果全部25例經肝膽外科手術後髮生膽瘺的患者，經過繫列的不同治療後全部治愈成功。其中經保守治療的患者有15例，佔全部病例的60%，經內鏡治療的患者有4例，佔全部病例的16%，經手術治療的患者有6例，佔全部病例的24%。結論肝膽外科的手術中常常會併髮膽瘺，其緻病因素較為複雜，包括患者方麵、病理方麵、操作方麵等等。關于膽瘺的治療應以非手術的治療方法為主，併需要醫護人員註重預防措施，尤其是要註意對患者的引流工作加彊重視，手術過程中應該正確操作，防止因操作失誤引髮患者的膽瘺。
목적토론병분석간담외과적환자재술후발생담루적림상치병원인，총결출괄당적예방이급치료방법。방법회고성분석아원증경수치적25례간담외과수술후발생료담루적환자적림상자료，대저25례병환채용보수치료、수술치료이급내경치료등치료방법，관찰병기록25례병환발생담루시적림상특정，분석기치병원인，경과계렬치료후분석비교채용불동방법치료적담루환자적림상치료효과평개，총결출괄당유효적치료방법화유효적예방조시。결과전부25례경간담외과수술후발생담루적환자，경과계렬적불동치료후전부치유성공。기중경보수치료적환자유15례，점전부병례적60%，경내경치료적환자유4례，점전부병례적16%，경수술치료적환자유6례，점전부병례적24%。결론간담외과적수술중상상회병발담루，기치병인소교위복잡，포괄환자방면、병리방면、조작방면등등。관우담루적치료응이비수술적치료방법위주，병수요의호인원주중예방조시，우기시요주의대환자적인류공작가강중시，수술과정중응해정학조작，방지인조작실오인발환자적담루。
Objective to discuss and analyze the clinical causes of Department of hepatobiliary surgery patients had biliary fistula after operation, summed up the appropriate prevention and treatment. Methods a retrospective analysis of 25 cases in our hospital department of hepatobiliary surgery operation once treated after the onset of the clinical data of patients with biliary fistula, 25 cases of the patients with the conservative treatment, operation treatment and endoscopic therapy methods, observe and record the clinical features of 25 patients with biliary fistula is, analysis of its causes, after a series of analysis and evaluation of clinical curative ef ect after the treatment of patients with biliary fistula were compared with the treatment of dif erent methods, summed up the appropriate treatment ef icient and ef ective preventive measures. Results al the 25 cases of biliary fistula after operation in Department of hepatobiliary surgery patients, after dif erent treatment cured after successful series. The patients in the conservative treatment of 15 cases, accounting for 60% of al cases, patients undergoing endoscopic treatment of 4 cases, accounting for 16% of al cases, patients after operation treatment in 6 cases, accounting for 24% of al cases. Conclusion the Department of hepatobiliary surgery operation often complicated with biliary fistula, the pathogenic factor is complex, including patients, pathology, operation, etc. Treatment of biliary fistula should be the main treatment method of non operation, and medical personnel should pay at ention to preventive measures, especial y should pay at ention to strengthening the emphasis on drainage work of patients, should correct operation in the process of operation, due to operational errors caused biliary fistula patients.
