| 胆胰肠结合部术中损伤的合理治疗方式 |
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| 引用本文： | 吴志勇,赵刚. 胆胰肠结合部术中损伤的合理治疗方式[J]. 中华消化外科杂志, 2003, 8(1): 174-175. DOI: 10.3760/cma.j.issn.1673-9752.2009.03.005 |
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| 作者姓名： | 吴志勇 赵刚 |
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| 作者单位： | 上海交通大学医学院附属仁济医院普通外科,200127; |
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| 摘 要： | 胆胰肠结合部损伤是指胆道探查术中因各种原因所致的胆总管下段和(或)胰腺、十二指肠的损伤.可造成胆汁、胰液、十二指肠液的漏出且互相混合,激活形成腐蚀性极强的消化液,引起腹膜后的严重感染,甚至危及患者生命,临床处理非常棘手.
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| 关 键 词： | 胆胰肠结合部 损伤 诊断 |
Treatment of iatrogenic injury in choledocho-pancreatico-duodenal junction |
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| WU Zhi-yong,ZHAO Gang. Treatment of iatrogenic injury in choledocho-pancreatico-duodenal junction[J]. Chinese Journal of Digestive Surgery, 2003, 8(1): 174-175. DOI: 10.3760/cma.j.issn.1673-9752.2009.03.005 |
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| Authors: | WU Zhi-yong ZHAO Gang |
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| Abstract: | The causes of iatrogenic injury in choledo-cho-pancreatico-duodenai junction include iatrogenic factors, anatomic factors and pathological factors. T-tube, methylthionine chloride and fiber choledochoscopy are useful methods for early diagnosis. Accurate exploration of the injury site and reasonable choice of management were significant in dealing with the iatrogenie injury and can lead to a satisfactory result. Choledo-chojejunostomy and Oddi sphincteroplasty are not recommended unless the patients had distal bile duet stricture or the stones can not be removed. Accurate detection of the injury site, evaluation of the severity, and proper choice of the surgical method are important for the prognosis of the patients. |
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| Keywords: | Choledocho-pancreatico-duodenal junctionInjuryDiagnosis |
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