摘要
目的 :探讨医源性胆道损伤的预防和诊治方法。方法 :对29例医源性胆道损伤的临床资料进行回顾性分析。结果 :对29例共施行手术31次。其中2次手术者4例。手术方式为胆管端端吻合10例 ,胆总管十二指肠吻合术2例 ,胆管壁缺损修补5例 ,胆管空肠Roux -en -Y吻合10例 ,单纯缝线拆除2例。15例随访1～5a ,优良率73 33 %。结论 :胆囊切除术是医源性胆道损伤的主要原因 ,是可以避免的。肝管空肠Roux -en -Y吻合术是医源性胆道损伤或损伤性狭窄修复重建的首选方法。
Objective:To investigate the preventive measures and the diagnosis and treatment of iatrogenic bile duct injury. Methods:The clinical data of 29 cases of iatrogenic bile duct in jury had been analysed retrospectively.Results: 31 operations were performed on 29 patients.4 of them underwent second operation.Operation procedure as the following:end to end choledochocholedochostomy in 10 cases,choledochoduodenostomy in 2 cases,choledochojejunum Roux-en-Y anastomosis in 10 cases,repearing of duct defect in 5 cases.Removing of suture simply in 2 case.15 patients were followed up and 73.33% of them had a good result. Conclusion:Cholecystectomy as a leading cause of iaotrogenic bile duct injury can be avoided.Hepaticojejunostomy is preferable procedure in the repairment and reconstruction of bile duct injury,especially in serious damage with traumatic stricutre.
出处
《天津医科大学学报》
2000年第3期328-330,共3页
Journal of Tianjin Medical University
关键词
胆管损伤
医源性疾病
治疗
诊断
bile ducts injury
iatrogenic disease
treatment
