摘要
目的探讨医源性右肝后叶胆管损伤的处理经验。方法回顾性分析35例医源性右肝后叶胆管损伤患者的临床资料。结果35例患者按损伤原因分为3类,即Ⅰ类:右肝后叶胆管刺伤或裂伤;Ⅱ类:热损伤(电灼伤);Ⅲ类:结扎横断伤。根据损伤原因、伤后发现时机和损伤程度采取相应的手术方式,取得了较好的效果。结论在优良的胆道外科技术的保证下灵活选择适合于患者的手术方式,才可能取得良好的疗效。
Objective To investigate the treatment experiences of iatrogenic right posterior bile duct injury. Methods The clinical data of 35 patients with iatrogenic right posterior bile duct injury were retrospectively analyzed. Results 35 patients were divided into 3 groups by injury reason: Ⅰ :stab or lacerated wound on right posterior bile duct; Ⅱ :heat injury(electric injury); Ⅲ :ligature or transect injury. Patients were treated by operation on the basis of injury reason,the time of the injury was found and the level of injury. The outcomes of these patients were good. Conclusion With good bile duct surgery expertise, the patients could be treated by a variety of methods with a satisfactory results.
出处
《中国现代医生》
2008年第27期1-2,5,共3页
China Modern Doctor
关键词
胆管/损伤
医源性疾病
胆囊切除术/副作用
右肝后叶胆管
Bile duct/Injury
Iatrogenic disease
Cholecystectomy/adverse reaction
Right posterior bile duct