胆漏防治的体会

目的 探讨胆漏的预防和治疗。方法 总结胆囊切除术后或拔除“T”管术后发生胆漏9例，非手术治疗3例，手术治疗6例。结果 1例因合并十二指肠瘘、肾衰、心肌梗死而死亡，8例治愈。结论 胆漏发生主要与炎症、解剖变异和解剖不细致或拔除“T”管有关。预防上应规范术中操作，延长常规拔除“T”管时间。治疗应视腹膜炎程度和胆汁流量大小采取非手术治疗或手术治疗。

Realization on Prevention and Cure of Bile Leakage

Objective To investigate the prevention and c ure of bile leakage.Methods To summarize the clinical data of 9 cases with th e bile leakage postcholecystectomy and after removal of T tube.3 cases were tre ated with nonoperative therapy and 6 cases were treated with operative therapy. Results 1 patient died of duodenal fistula, renal failur e and myocardial infarction and the other 8 cases were cured.Conclusion Bile leakage was related to inflammation,abnor mality of anatomy,incorrect manipulation and removal of T tube.In order to preve nt it,surgeons should pay more attention to the regular operation and appropriat e removal of T tube.Nonoperative or operative therapy are optional according to the degree of peritonitis and amount of bile leakage.