| 医源性胆道损伤外科处理27例分析 |
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| 引用本文： | 黄强,刘臣海,王成,胡元国,汤志刚,邱陆军,王士堂. 医源性胆道损伤外科处理27例分析[J]. 安徽医药, 2011, 15(4): 446-447 |
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| 作者姓名： | 黄强 刘臣海 王成 胡元国 汤志刚 邱陆军 王士堂 |
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| 作者单位： | 安徽省立医院普外科胆胰病区,安徽,合肥,230001;安徽省立医院普外科胆胰病区,安徽,合肥,230001;安徽省立医院普外科胆胰病区,安徽,合肥,230001;安徽省立医院普外科胆胰病区,安徽,合肥,230001;安徽省立医院普外科胆胰病区,安徽,合肥,230001;安徽省立医院普外科胆胰病区,安徽,合肥,230001;安徽省立医院普外科胆胰病区,安徽,合肥,230001 |
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| 基金项目： | 安徽省科技攻关计划面上项目 |
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| 摘 要： | 目的探讨医源性胆道损伤的原因和处理原则。方法回顾性分析和总结近8年来该科收治的27例医源性胆道损伤的临床资料。结果损伤的27例中有16例是开腹胆囊切除术,11例为腹腔镜胆囊切除术(LC),其中23例发生在二级以下医院,术中发现并行胆管修补的2例,术后发现的25例中,梗阻型有18例,胆漏型2例,梗阻胆漏型5例,术后一个半月内发现再手术处理的16例,胆道损伤处理后胆道狭窄的9例,23例行胆肠内引流,其他行胆管引流术,全部患者获得随访,总体效果优良率达93%(25/27)。结论医源性胆道损伤主要集中在基层医院,胆囊切除术是造成损伤的主要手术,技术水平是重要因素,损伤后的处理需根据类型不同区别对待,良好的胆肠内引流是处理胆道损伤的主要术式。
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| 关 键 词： | 医源性损伤 胆道 治疗 胆囊切除术 并发症 |
Experience of surgical management for iatrogenic injury of bile duct |
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| HUANG Qiang,LIU Chen-hai,WANG Cheng,HU Yuan-guo,TANG Zhi-gang,QIU Lu-jun,WANG Shi-tang. Experience of surgical management for iatrogenic injury of bile duct[J]. Anhui Medical and Pharmaceutical Journal, 2011, 15(4): 446-447 |
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| Authors: | HUANG Qiang LIU Chen-hai WANG Cheng HU Yuan-guo TANG Zhi-gang QIU Lu-jun WANG Shi-tang |
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| Affiliation: | HUANG Qiang,LIU Chen-hai,WANG Cheng,HU Yuan-guo,TANG Zhi-gang,QIU Lu-jun,WANG Shi-tang (Department of General Surgery,Anhui Provincial Hospital,Hefei 230001,China) |
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| Abstract: | Aim To analyze the causes and principle of treatment for iatrogenic injury of bile duct.Methods The clinical data of 27 patients with iatrogenic injury of bile duct referred to our hospital from 2000 to 2008 were analyzed and summarized retrospectively.Results In all patients.16 cases performed Open cholecystectomy(OC),others undergone laparoscopic cholecystectomy(LC).23 cases of these were treated in the secondary hospital.2 cases were be found and be repaired during the first operation.Others were classif... |
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| Keywords: | iatrogenic injury bile duct therapeutics cholecystectomy complications |
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