胆囊切除术后黄疸

目的：分析胆囊切除术后产生黄疸的原因及预防措施。方法：分析我院1992年8月至1998年8月1832例胆囊切除术病例。结果：经B超、CT、手术、肝功证实：①胆道损伤造成的黄疸7例；②胆道内残余结石所至黄疸8例；③引流物造成黄疸4例；④肝细胞性黄疸12例。结论：明道损伤、胆道残余结石、不恰当的引流及术前肝功不良等是胆囊切除术后黄疸常见的原因；因此，合理的手术方式、术中必要的检查、恰当的引流及围手术期保肝等是预防胆囊切除术后黄疸的措施。

Jaundice after cholecystectomy

To analyse causes and preventive measures of jaundice after cholecystectomy. Method: A total of 1832 casesof cholecystectomy in our hospital during 6 year period from August 1992 to August 1998 was investigated.Results: From B-mode ultrasound scans, CT scans,operations and liver function tests, there were: (1) 7 casesaundice caused injury of the biliary tract; (2) 8 cases jaundice caused remaining gallbladder stones in the biliarytract; (3) 4 cases jaundice caused improper drainage; and (4) 12 cases jaundice caused impairment of hepatocytes.Conclusions: the most common causes of jaundice after cholecystectomy are injury of the biliary tract, remaininggallbladder stones in the biliary tract, improper drainage and impairment of liver functions. Methods forpreventing jaundice after cholecystectomy include fair operatior,necessary intraoperative checking,properdrainage and protection against liver function impairment in the prioperative period.