多次胆道手术十二指肠损伤的预防和治疗

 目的 探讨多次胆道手术中十二指肠损伤的预防和处理。方法 回顾性分析自2002年2月～2010年6月收治的因肝内外胆管结石而行再次、多次胆道手术患者，术中出现不同程度、不同部位的十二指肠损伤。结果 9例愈合良好，3例愈合时间较长，2例死于严重的感染、多脏器衰竭。结论 十二指肠损伤是多次胆道手术较严重的并发症，如果没有及时发现或没有及时正确的治疗就会酿成严重后果。手术中细致操作，及时发现、及时处理，充分的引流和术后肠内外营养是减少术中十二指肠损伤和术后并发症的有效措施。

Prevention and Treatment of Duodenum Injury after Multiple Biliary Tract Operations

Objective To investigate the prevention and treatment of duodenum injury after multiple biliary tract operations.Methods A retrospective study was made on patients who underwent multiple biliary tract operations because of calculi in hepatic ducts from February 2002 to June 2010.Some patients had duodenum injuries which were different in extent and location.Results Nine patients recovered after a short time and three recovered after a long time,but two succumbed to infection or multiple organ failure.Conclusion Duodenum injury is a severe complication of multiple biliary tract operations.It may cause severe consequences if not detected in time and not given correct treatment in time.The effective measures to avoid duodenum injury and its complications include careful operation,timely observation,timely treatment,sufficient drainage and decreased intraintestinal nourishment after operation.