摘要
本文报告医源性胆道损伤48例，其中5例为腹腔镜胆道损伤，术中发现16例，占33．3％。24例为本后24h发现，占50％，术后3月以后发现8例，占16．7％。决定性术式以胆管空肠Roux－Y吻合术最佳。本文重点讨论胆遭损伤的处理原则与方法。
fourty-eight patients with postoperative injury of bile duct have been treated in our hospital during sixteen - years period (from 1980 - 1996). Among them 5 cases were injuried in laparoscopic cholecystctomy operation. about 16 cases were found at the same time of operation, the ratio was 33. 3 per cent. And 24 cases weren't found until twenty - four hours after the operation- the ratio was 50 per cent. however, 8 cases was found three months later. the ratio was 16. 7 per cent,The principles of the treatment was decided in the type of injury and the time after injuries. The most satisfied ultimate treatment was high level Roux -Y biliary-enteric anastomosis. The principles and methold of the treatment in bile duct inJuries were discussed comprehensively in this paper.
出处
《肝胆外科杂志》
1997年第6期334-336,共3页
Journal of Hepatobiliary Surgery
关键词
胆道损伤
创伤
处理治疗
<Keywors> Iatrogenic biliary tract injuries
