摘要
目的 调查胆道病人多次手术的原因 ,探讨降低再手术率及术后并发症的治疗方案。 方法 回顾性分析了 1987年至 1997年 175例多次胆道手术的手术原因、手术方式、手术时机、术后并发症及疗效情况。 结果 肝胆管结石和狭窄是胆道再手术的主要原因 ( 13 3 /175 ,76% ) ,胆管切开取石甚至肝叶切除 ,术中、术后胆道镜的应用在降低再手术率方面优于胆肠内引流。围手术期的处理及手术时机的选择也与再手术率及术后并发症相关。 结论 合理的术式、正确的手术时机及围手术期处理是降低再手术率及术后并发症的关键。
Objective To investigate the causes of repeated operations for patients with biliary diseases and probe into the therapeutic regimes that can decrease the reoperative rates and postoperative complications. Methods 175 cases with repeated biliary operations from 1987 to 1997 were analysized restroperctively to study the causes,operative styles,timing of the operation,postoperative complications and outcome. Results Hepatic calculi and biliary strictures were the main causes of repeated biliary operations (133/175,76%).Choledochotomy and removal of stones,even hepatic lobectomy,opreative and postoperative choledochofiberscepy were superior to biliary-enteric-anastomosis in decreasing the reoperative rates.Perioperative management and timing of operation were also related to the reoperative rates and postoperative complications. Conclusion Rational operative styles,timely operation and correct perioperative management are the key to reduce the reoperative rates and postoperative complications.
出处
《中国现代手术学杂志》
2000年第1期29-31,共3页
Chinese Journal of Modern Operative Surgery
关键词
胆道手术
再手术
肝胆管结石
肝胆管狭窄
胆道镜
reoperation
biliary tract diseases
bile ducts,introhepatic
cholelithiasis
biliary tract surgery
