经胆囊管探查减压在肝囊型包虫手术中的应用

目的 探讨经胆囊管探查减压在肝囊型包虫手术中处理隐匿型胆漏的疗效.方法 回顾性分析新疆医科大学第一附属医院从2002年6月到2008年6月手术治疗的819例肝囊型包虫病人中实施胆道探查的172例资料,对术后平均住院日、术后残腔并发症(胆漏、残腔积液、残腔感染)、胆道并发症(胆道梗阻、胆道狭窄、胆道感染、胆漏)进行比较分析.结果 经胆囊管探查减压组(A组)术后残腔并发症、术后平均住院日与胆总管探查"T"管减压组(B组)无明显差异,但胆道并发症两组具有统计学意义(P<0.05).结论 经胆囊管探查减压在肝囊型包虫手术中具有操作简单、安全、有效,术后彻底解决残腔胆漏,并可避免传统T管减压相关并发症等优点.

Application of intra-CE operative exploration of common bile duct via cystic duct

Objective To review our experience in treatment of liver hydatid diease.Methods The data of 819 patients who underwent surgery for hepatic hydatid disease were reviewed retrospectively.Exploration of common bile duct was done in 172 cases.There were men 95 and women 77with a mean age of 31.5±0.5 years.In addition to treatment of the cyst cavity,patients was divided into two groups.The patients in group A received cholangiography and exploration of common bile duct through cystic duct while those in group B underwent cholangiography and common bile duct ex-pioration through T tube.Results The length of hospital stay and cavity-related problems for both groups had no significant difference.Biliary tract-related problems in two groups had significant differ-ence.Conclusion Cholangiography and common bile duct exploration through cystic duct can com-pletely solve the cavity-related problems while avoiding T-tube related problems.