世界最新医学信息文摘(电子版)
世界最新醫學信息文摘(電子版)
세계최신의학신식문적(전자판)
World Latest Medicine Information
2013年
2期
33-34
,共2页
胆漏%肝胆手术%原因%预防措施
膽漏%肝膽手術%原因%預防措施
담루%간담수술%원인%예방조시
Bile leakage%hepatobiliary surgery%reasons%precautions
目的探讨肝胆手术后出现胆漏的原因及预防措施.方法回顾性分析了2010年1月至2011年12月我院肝胆手术后发生胆漏22例患者的临床特点,发生的原因及预防措施.结果本组所有患者随访5~10个月,住院痊愈21例,1例晚期胆管癌带管出院,治愈率为95.45%,其中2周内治愈者14例(66.7%),3周治愈者6例(28.6%),4周治愈者1例(4.7%),无其它并发症发生.结论肝胆手术后发生胆漏的原因是多方面的,胆漏的发生重在预防,而充分的术前准备,熟练的手术操作,术后充分的引流是预防损伤性胆漏的关键.
目的探討肝膽手術後齣現膽漏的原因及預防措施.方法迴顧性分析瞭2010年1月至2011年12月我院肝膽手術後髮生膽漏22例患者的臨床特點,髮生的原因及預防措施.結果本組所有患者隨訪5~10箇月,住院痊愈21例,1例晚期膽管癌帶管齣院,治愈率為95.45%,其中2週內治愈者14例(66.7%),3週治愈者6例(28.6%),4週治愈者1例(4.7%),無其它併髮癥髮生.結論肝膽手術後髮生膽漏的原因是多方麵的,膽漏的髮生重在預防,而充分的術前準備,熟練的手術操作,術後充分的引流是預防損傷性膽漏的關鍵.
목적탐토간담수술후출현담루적원인급예방조시.방법회고성분석료2010년1월지2011년12월아원간담수술후발생담루22례환자적림상특점,발생적원인급예방조시.결과본조소유환자수방5~10개월,주원전유21례,1례만기담관암대관출원,치유솔위95.45%,기중2주내치유자14례(66.7%),3주치유자6례(28.6%),4주치유자1례(4.7%),무기타병발증발생.결론간담수술후발생담루적원인시다방면적,담루적발생중재예방,이충분적술전준비,숙련적수술조작,술후충분적인류시예방손상성담루적관건.
Objective To explore the liver and gallbladder surgery bile leakage causes and preventive measures. METHODS A retrospective analysis of bile leak occurred after the clinical features of 22 patients in our hospital hepatobiliary surgery from January 2010 to December 2011,the causes and prevention measures. Results All patients in this group were followed up for 5 to 10 months, hospitalized 21 cases were cured,patients with advanced cholangiocarcinoma with pipe discharged,the cure rate was 95.45%,2 weeks cure in 14 patients(66.7%),6 cases of three weeks to cure(28.6%),four weeks to cure in 1 case(4.7%),no other complications. Conclution Bile leakage after hepatobiliary surgery for many reasons,bile leakage focus on prevention,adequate preoperative prepa-ration,a skilled surgical operation,postoperative adequate drainage to prevent injury bile leakage.
