CAJ | 학술논문

目的：总结胆囊切除所致胆管损伤的诊断治疗经验。方法：收治胆囊切除术后胆管损伤患者50例，对其临床资料进行回顾分析，对患者的诊断以及治疗经验进行总结分析。结果：14例于术中发现，27例于术后早期发现(术后3个月内)，9例于术后晚期发现(术后3个月上)。术中、术后早期以及术后晚期各个阶段对胆囊切除致胆管损伤的影响不同，术后早期最易发现并通过B超确诊。根据诊断阶段以及患者的实际情况，采取相应的治疗方案。结论：针对因胆囊切除所致胆管损伤，需要尽早配合临床表现以及B超特点进行诊断，确诊后根据实际情况决定手术方式以及时机，以确保治疗效果。
목적：총결담낭절제소치담관손상적진단치료경험。방법：수치담낭절제술후담관손상환자50례，대기림상자료진행회고분석，대환자적진단이급치료경험진행총결분석。결과：14례우술중발현，27례우술후조기발현(술후3개월내)，9례우술후만기발현(술후3개월상)。술중、술후조기이급술후만기각개계단대담낭절제치담관손상적영향불동，술후조기최역발현병통과B초학진。근거진단계단이급환자적실제정황，채취상응적치료방안。결론：침대인담낭절제소치담관손상，수요진조배합림상표현이급B초특점진행진단，학진후근거실제정황결정수술방식이급시궤，이학보치료효과。
Objective:To summarize the diagnosis and treatment experience of bile duct injury caused by cholecystectomy. Methods:50 patients with bile duct injury after cholecystectomy were selected.Their clinical data were retrospectively analyzed. The diagnosis and treatment experience of patients were summarized and analyzed.Results:14 cases were found during operation.27 cases were found in the early postoperative(in three months after operation).9 cases were found in the late postoperative(more than three months after operation).The intranperative,early postoperative and late postoperative stages had different influences on the bile duct injury caused by cholecystectomy.The patients were most easily found and confirmed by B ultrasound in early postoperative.According to the diagnostic stage and actual situation of the patients,the appropriate treatment plans were taked.Conclusion:For bile duct injury caused by cholecystectomy,it needs to cooperate with the clinical manifestations and the characteristics of B ultrasonic as soon as possible for diagnosis.According to the actual conditions,the operation mode and the opportunity are decided after diagnosis to ensure the treatment effect.