| 医源性胆管损伤的预防和处理(附74例报告) |
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| 引用本文： | 许军,刘昶,孙备,孟庆辉,姜洪池. 医源性胆管损伤的预防和处理(附74例报告)[J]. 中华肝胆外科杂志, 2004, 10(7): 441-443 |
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| 作者姓名： | 许军 刘昶 孙备 孟庆辉 姜洪池 |
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| 作者单位： | 150001,哈尔滨市,哈尔滨医科大学第一临床医学院普外二科 |
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| 摘 要： | 目的 探讨医源性胆管损伤的原因、预防及处理。方法 对74例医源性胆管损伤的临床资料进行回顾性分析。结果 本组74例，痊愈69例，治愈率93．2％，死亡5例，死亡率6．8％。随访58例，随访率78．4％，平均随访4．2年。8例因术后胆管狭窄再次手术，其中3例经4次手术治疗。结论 胆囊切除术是医源性胆管损伤的主要原因，提高认识、预防损伤是关键，把握首次治疗时机和选择合理方法极为重要。
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| 关 键 词： | 医源性胆管损伤 预防 随访率 处理 治疗时机 痊愈 首次 再次手术 胆管狭窄 回顾性分析 |
| 修稿时间： | 2003-07-04 |
Prevention and treatment of iatrogenic bile duct injury:a report of 74 cases |
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| Jun,LIU Chang,SUNBei,et al.. Prevention and treatment of iatrogenic bile duct injury:a report of 74 cases[J]. Chinese Journal of Hepatobiliary Surgery, 2004, 10(7): 441-443 |
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| Authors: | Jun LIU Chang SUNBei et al. |
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| Affiliation: | Jun,LIU Chang,SUNBei,et al. Department of General Surgery,the First Affiliated Hospital,Harbin Medical University,Harbin 150001,P. R. China |
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| Abstract: | jective To investigate the causes, prevention and treatment of iatrogenic bile duct injury. Methods The clinical data of 74 patients with iatrogenic bile duct injury treated in our hospital were retrospectively analyzed. Results Of the 74 patients, 69 (93.2%) were cured and 5 died (6. 8%). Fifty-eight patients (78. 4%) were followed up for an average of 4. 2 years. Eight received reoperation due to bile stricture and 3 of them even received the reoperation for 4 times. Conclusions Cholecystectomy is the most common reason for the iatrogenic bile duct injury. Improvement in understanding and prevention of the injury is very important. Meanwhile, grasping the chance of the first operation and choosing reasonable approach is crucial. |
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| Keywords: | le duct injury Cholecystectomy Cholecystitis |
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