| 胆道再次手术的原因分析和对策 |
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| 引用本文： | 李建明,万恒荣,刘学强,陈海生.胆道再次手术的原因分析和对策[J].岭南现代临床外科,2003,3(1):31-32. |
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| 作者姓名： | 李建明 万恒荣 刘学强 陈海生 |
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| 作者单位： | 528400,广东省中山市中医院外一科 |
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| 摘 要： | 目的探讨胆道再次手术原因,以减少再次手术.方法对1997年1月～2002年8月间胆道再次手术55例病例作回顾性研究.结果再次手术的原因多为肝内胆管结石,为31例,占全组病例的56.4%,其余为单纯胆总管结石8例,先天性胆总管囊肿3例,胆囊结石并胆总管结石3例,胆管癌3例,缩窄性乳头炎3例,胆瘘3例,胆囊残株炎1例.再次手术以胆一肠吻合内引流术为主.结论胆道再手术有疾病本身的特点,也有医源性的原因.部分胆道再次手术是可避免的.
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| 关 键 词： | 胆道 再次手术 回顾性研究 |
| 修稿时间： | 2002年11月25 |
The causal analysis of reoperation of biliary tract and countermeasure |
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| Li Jianming,Wan Hengrong,Liu Xueqiang,Chen Haisheng.The causal analysis of reoperation of biliary tract and countermeasure[J].Lingnan Modern Clinics in Surgery,2003,3(1):31-32. |
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| Authors: | Li Jianming Wan Hengrong Liu Xueqiang Chen Haisheng |
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| Institution: | Li Jianming,Wan Hengrong,Liu Xueqiang,Chen Haisheng.
The First Department of surgery,Zhong shan Hospital of Traditional
Chinese of medicine,Zhongshan,Guangdong 528400 |
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| Abstract: | Objective To investigate reasons of reoperation of biliary tract for minimizing its rate of reoperation. Methods From January 1997 to Augest 2002, 55 cases with reoperation of biliary tract had been studied retrospectively. Results Intrahepatic cholelithiasis was the most common reason for the reoperation (31cases, 56 -4% ) . other reasons were choledocolithiasis in 8 cases, congenital cyst of common bile duct 3 cases, cholecystolithiasis associated with choledocholithiasis 3 cases, carcinomia of bile duct 3cases, constric-tive papillitis 3cases, bile fistula 3 cases, cholecystitis of stump 1 cases. Main operative procedure was choledo-co-jejunostomy for reoperation of biliary tract. Conclusion The reoperation of biliary tract has disease own characteristic and there are also iatrogenic reasons. So the partial reoperations can be avoided. |
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| Keywords: | Biliary tract Reoperation Retrospective study |
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