| 医源性肝外胆管损伤的诊治体会(附 29 例报告) |
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| 引用本文： | 赵永捷,薛春利.医源性肝外胆管损伤的诊治体会(附 29 例报告)[J].天津医科大学学报,2000,6(3):328-330. |
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| 作者姓名： | 赵永捷 薛春利 |
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| 作者单位： | 赵永捷（天津市第二中心医院普外科）;薛春利（天津市第二中心医院普外科）;韩国栋（天津市第二中心医院普外科） |
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| 摘 要： | 目的：探讨医源性胆道损伤的预防和诊治方法。方法：对２９例医源性胆道损伤的临床资料进行回顾性分析。结果：对２９例共施行手术３１次，其中２次手术者４例。手术方式为胆管端端吻合１０例，胆总管十二指肠吻合术２例，胆管壁缺损修补５例，胆管空肠Ｒｏｕｘ－ｅｎ－Ｙ吻合１０例，单纯缝线拆除２例。１５例随访１～５ａ，优良率７３．３３％。结论：胆囊切除术是医源性胆道损伤的主要原因，是可以避免的，肝管空肠Ｒｏｕｘ－ｅｎ
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| 关 键 词： | 胆管损伤 医源性疾病 治疗 诊断 |
| 文章编号： | 1006-8147(2000)03-328-03 |
| 修稿时间： | 2000年4月18日 |
Diagnosis and Treat of latrogenic Bile Duct Injury(Report of 29 Cases) |
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| ZHAO Yong-jie,XUE Chun-li,HAN Guo-dong.Diagnosis and Treat of latrogenic Bile Duct Injury(Report of 29 Cases)[J].Journal of Tianjin Medical University,2000,6(3):328-330. |
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| Authors: | ZHAO Yong-jie XUE Chun-li HAN Guo-dong |
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| Abstract: | Objective:To investigate the preventive measures and the diagnosis and treatment of iatrogenic bile duct injury. Methods:The clinical data of 29 cases of iatrogenic bile duct in jury had been analysed retrospectively.Results: 31 operations were performed on 29 patients.4 of them underwent second operation.Operation procedure as the following:end to end choledochocholedochostomy in 10 cases,choledochoduodenostomy in 2 cases,choledochojejunum Roux-en-Y anastomosis in 10 cases,repearing of duct defect in 5 cases.Removing of suture simply in 2 case.15 patients were followed up and 73.33% of them had a good result. Conclusion:Cholecystectomy as a leading cause of iaotrogenic bile duct injury can be avoided.Hepaticojejunostomy is preferable procedure in the repairment and reconstruction of bile duct injury,especially in serious damage with traumatic stricutre. |
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| Keywords: | bile ducts injury iatrogenic disease treatment |
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