| 医源性胆道损伤的预防及处理 |
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| 引用本文： | 庞利群,钱海鑫,房平承,金阳,陈方.医源性胆道损伤的预防及处理[J].肝胆外科杂志,2005,13(5):340-341. |
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| 作者姓名： | 庞利群 钱海鑫 房平承 金阳 陈方 |
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| 作者单位： | 1. 苏州大学附一院,苏州,215000
2. 江苏大学附四院 |
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| 摘 要： | 目的探讨医源性胆道损伤的发生原因、处理方法及预防措施。方法回顾近15年来收治的26例胆道损伤的临床资料,分析其损伤发生的原因、部位、处理方法和治疗效果。结果经胆管壁修补、胆管对端吻合或胆肠吻合术,24例痊愈(92.31%),2例死亡(7.69%)。结论保持警惕、规范操作、术中造影是预防医源性胆道损伤的关键,早期发现和正确处理对预后十分重要。
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| 关 键 词： | 胆道损伤 胆囊切除 胆肠吻合 |
| 文章编号： | 1006-4761（2005）04-0340-02 |
| 收稿时间： | 2005-02-19 |
| 修稿时间： | 2005年2月19日 |
TREATMERNT AND PREVENTION OF IATROGENIC BILE DUCT INJURY |
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| PANG Li-qun, QIAN Hai-xin, FANG Ping-ceng ,et al..TREATMERNT AND PREVENTION OF IATROGENIC BILE DUCT INJURY[J].Journal of Hepatobiliary Surgery,2005,13(5):340-341. |
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| Authors: | PANG Li-qun QIAN Hai-xin FANG Ping-ceng |
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| Institution: | Department of General Surgery, First Hospital of Su Zhou University, Suzhou 215000 ,China |
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| Abstract: | Objective To study the cause,treatment and prevention for iatrogenic bile duct injury.Methods The data from 26 cases with bile duct injury were reviewed retrospectively.Result All patients were underwent by repair of bile duct injures,choledochocholedochostomy and Roux-en-Y limb jejunum.24 patients were cured successfully(92.31%),mortality was 7.69.Conclusion In order to preventhe bile duct injures,it is critical for doctor to maintain vigilance,perform standard operation and cholengiography during operation.It is also important for good prognosis that bile duct injury should be discovered as soon as possible and be correctly operated in time. |
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| Keywords: | Bile Duct Injury Cholecystectomy Cholangiojejunostomy |
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