CAJ | 학술논문

目的探讨T管拔除后胆漏致胆汁性腹膜炎的原因分析及处理措施.方法回顾性分析1992年12月~2012年11月胆总管手术术后拔T管发生胆漏13例的临床资料.结果全部患者经开腹和腹腔镜手术再引流,4~6周后逐日退管至拔管后痊愈.结论 T管拔除后胆漏的原因与多种因素有关,如营养不良、创面粘连不佳、窦道未形成等.拔管后严密观察,如有腹痛症状首先考虑胆漏可能,经开腹或腹腔镜探查再引流延迟拔管方可治愈.
목적탐토T관발제후담루치담즙성복막염적원인분석급처리조시.방법회고성분석1992년12월~2012년11월담총관수술술후발T관발생담루13례적림상자료.결과전부환자경개복화복강경수술재인류,4~6주후축일퇴관지발관후전유.결론 T관발제후담루적원인여다충인소유관,여영양불량、창면점련불가、두도미형성등.발관후엄밀관찰,여유복통증상수선고필담루가능,경개복혹복강경탐사재인류연지발관방가치유.
Objective To discuss the reason and preventive measures of bile leakage and peritonitis after removal of T-tube. Methods The clinical data of 13 cases with bile leakage and bile peritonitis after removal of T-tube after common bile duct operation in our hospital from December 1992 to November 2012 were retrospectively analyzed. Results All cases were open operation and laparoscopic operation, gradually pulled tube to extubation after drainage 4-6 weeks, they were all cured. Conclusion Bile leakage after removal of T-tube are related to many factors, such as malnutrition, poor wound adhesion, without formation of sinus tract. Extubation after close observation, such as abdominal pain first consider the bile leaks, by laparotomy or laparoscopy and drainage for delayed extubation can be cured.