摘要
目的：探讨肝胆手术后出现胆漏的常见原因及临床防治措施。方法：选取2010年3月-2014年3月在我科行肝胆手术后出现胆漏的94例患者发生胆漏的原因和处理措施进行回顾性分析。结果：术后发生胆漏的原因较为复杂，94例患者中先行非手术治疗的患者在住院期间87例患者得到治愈，治愈率达92.55%，治疗效果明显，家属及患者得到满意。结论：肝胆外科手术后，发生胆漏的原因多种多样，对胆漏进行治疗时，非手术治疗效果比较好，但关键还是在与预防，如果已发生胆漏，要做好引流，如果漏出量较大，要及时采取手术治疗，而且要做好有效的预防措施，减少胆漏的发生。
Abstract
Objective: To explore a common cause of bile leakage after liver surgery and clinical prevention and treatment measures. Methods: Selection in March, 2013 - March 2014 in our department liver and galbladder surgery in 94 patients of bile leakage after biliary leakage reasons and handling measures were retrospectively analyzed. Results: The reasons of postoperative bile leakage is relatively complex, first non-surgical treatment in 94 cases of patients cured 87 patients during hospitalization, the cure rate was 92.55%, and the treatment effect is obvious, families and patients are satisfied. Conclusion: Liver and galbladder surgery, biliary leakage has various reasons and treatment of bile leakage, non-surgical treatment effect is better, but the key is in and prevention, if bile leakage has occurred, to do wel drainage, if leakage amount is larger, to take timely surgical treatment, and to make effective preventive measures, to reduce the occurrence of bile leakage.
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