排序方式: 共有18条查询结果,搜索用时 46 毫秒
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目的 评价术中胆漏试验预防肝切除术后胆漏的作用.方法 81例肝切除患者随机分2组.试验组(41例)应用脂肪乳(无菌)自胆囊管注入,观察肝断面的渗漏情况,及时处理渗漏点,对照组(40例)应用常规方法处理肝断面.分析2组术后胆漏发生率.结果 试验组术后发生胆漏1例(2.4%),对照组6例(15.0%),2组差异有统计学意义(x2=4.04,P<0.05).结论 术中胆漏试验能够有效预防肝切除术后胆漏的发生,并不增加其他并发症的概率.Abstract: Objectiye To evaluate the value of intraoperative bile leakage test during liver resection in preventing postoperation bile leakage. Methods Eighty-one cases were randomly divided into two groups,in the test group (41 cases) white fat emulsion(sterilized) was injected into common bile tract through cyst bile duct,the leakage points on the transect surface were observed and disposed. In the control group (40 cases) the transect surface were disposed by regular methods. The rate of postoperation bile leakage in the two groups were analyzed. Results The rate of postoperation bile leakage in the test group was 2. 4% (n=1), and the rate of postoperation bile leakage in the control group was 15% (n = 6). There was significant difference between the two groups (x2=4.04, P<0.05). Conclusion The white bile leakage test is effective in preventing the postoperation bile leakage during liver resection and does not increase other complications. 相似文献
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传统方式治疗胆道结石多采用胆总管切开方式,而忽略了胆囊管这一天然管道的存在。我们通过临床观察发现经胆囊管治疗胆道结石是完全可行的,也相信这将是胆道外科发展的一个新方向。 相似文献
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采用随机对照研究方法,观察53例术中应用脂肪乳(无菌)自胆囊管注入行胆漏试验预防肝部分切除术后胆漏发生的效果,并以应用常规方法处理肝断面的54例患者为对照,分析两组术后胆漏发生率及其他并发症的发生率.试验组术后胆漏4%(2/53),对照组胆漏15%(8/54),两组差异有统计学意义(P〈0.05);其他并发症的发生率差异无统计学意义(P>0.05).提示术中胆漏试验能够有效预防肝切除术后胆漏的发生,并不增加其他并发症的发生几率. 相似文献
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目的:探讨腹腔镜在妊娠期胆囊炎胆囊切除中的作用。方法:选取妊娠期急性胆囊炎保守治疗不佳患者18例,观察平均手术时间、术中出血、平均住院时间、流产、早产及胎儿畸形情况。结果:18例患者均成功施行腹腔镜胆囊切除术,平均手术时间为(85.0±11.0)min,术中出血(50.0±6.3)ml,平均住院时间(6.0±1.5)天。术后剑突下切口渗血1例,切口感染1例,无肺内感染及尿路感染。无流产、早产及胎儿畸形。结论:妊娠期腹腔镜胆囊切除术具有创伤小、恢复快、切口美观、住院时间短等优势,以妊娠中期为最佳选择。 相似文献
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