103例急性梗阻性化脓性胆管炎手术治疗分析

目的 探讨急性梗阻性化脓性胆管炎(AOSC)手术治疗措施.方法 回顾性分析本院2005年1月至2010年12月103例行手术治疗的AOSC的临床资料.结果 术后并发切口感染6例,胆总管结石残留3例,胆汁漏2例,多器官功能衰竭(MOF)6例,死亡8例(死于MOF及脓毒血症),其他患者均痊愈.住院天数为12~31 d,平均19.5 d.结论 AOSC首选手术治疗,选择恰当的手术时机及合适的手术方式是提高治愈率和降低死亡率的关键.

Analysis on surgical treatment of 103 cases of acute obstructive suppurative cholangitis

Objective To explore the surgical treatment measures in acute obstructive suppurative cholangitis(AOSC).Methods The clinical data of 103 cases of AOSC treated by surgical treatment in our hospital from January 2005 to December 2010 were retrospectively analyzed.Results Postoperative incision infection was in 6 cases,choledocholithiasis residue in 3 cases,bile leakage in 2 cases,multiple system organ failure in 6 cases,death in 8 cases(died of multiple organ failure and sepsis),other patients were recovered.The hospitalization duration was 12-31 d,average 19.5 d.Conclusion Surgical treatment is the first choice on AOSC.Choosing the proper operation time and the suitale operation method is the key point to increase the cure rate and reduce the mortality.