常规拔T管后胆漏的临床分析

目的 探讨传统手术操作致拔T管后胆漏的原因，提出改进措施。方法 回顾性分析我院1987年8月～2001年5月之间拔T管后出现胆漏而行再次手术的19例患者的首次手术操作情况，找出其中存在的缺陷并提出相应的解决办法。结果 本组19例胆漏患者首次术式全部采用的是传统术式，残留的T管横臂粗大，其中有14例胆漏与T管横臂对窦道或胆总管壁的损伤有关，占73．7％。结论 胆总管T管引流术的传统手术操作方法有一定的缺陷，尤其是T管的裁剪不当更是形成拔T管后胆漏的主要原因。

CLINICAL ANALYSIS FOR BILE LEAKAGE AFTER REMOVAL OF T-TUBE WITH TRADITIONAL SURGERY TECHNIQUE

Objective To investigate the cause of bile leakage after removal of T-tube with traditional technique and to advance new measures.Methods Retrospectively analysised the surgery technique of the 19 patients who accepted operation again after removal of T-tube foir bile leakage from August 1987 to May 2001 in our hospital,the purpose was to look for the defect and advance new measures.Result The surgery manner for the first time was traditional in all the 19 patients,the tlimb of the T-tube was bulky.The bile leakage was related to the injury of the limb to tract or wall of bile duct in 14 (73.7%) of them.Conclusion There's some defect in traditional operation with T-tube drainage of common bile duct.especially when the T-tube was cut inexactly,it become the main cause for bile leakage after removal of T-tube.