摘要
目的：探讨肝胆外科手术胆漏原因，提出针对性的防治措施。方法：回顾性分析某院肝胆外科手术后并发胆漏30例，总结治疗方法与结局。结果：保守治疗20例，T管脱落者4例，瘘口重置T管，T管引流不畅者12例，反复冲洗，积存胆汁过多者，B超声介导下腹部穿刺引流，治愈率达到100.00%；手术治疗10例，6例保守治疗引流不畅转手术，4例症状较重，行急诊手术，住院期间治愈率达到100.00%；2例患者出院后胆漏复发，再次冲洗后恢复正常。结论：对症治疗、冲管、瘘口置管、手术是治疗胆漏的主要方法，医院应据患者病情酌情施用。
Abstract
Objective: To investigate the cause of bile leakage hepatobiliarysurgery, proposed targeted prevention measures.Methods:A retrospective analysis of a hospital after galbladder surgery complicated by bile leakage in 30 cases, treatment methods and outcomes are summarized. Results: Conservativetreatment of 20 cases, T tube off in 4 cases, reset the T-tube, T-tube drainageimpeded in 12 cases, repeatedly washed by excessive accumulation of bile, Bultrasound-mediated drainage of the lower abdomen, the cure rate reached100.00 %; surgical treatment of 10 cases, six cases of poor drainage turnconservative surgical treatment, four cases of severe symptoms, underwent emergency surgery, the cure rate reached 100.00 percent during hospitalization;2 patients relapse after discharge bile leakage, rinse again returned to normal.Conclusion: Symptomatic treatment, red tube, tube fistula, surgery is the main method of treatment of bile leakage, hospitals should be administered according to the patient's condition discretion.
NETL
NSTL
万方数据