摘要
目的提高医源性胆管损伤修复后胆管再狭窄的防治水平。方法回顾分析１９８９～１９９８年最后一次手术由作者施行的２１例异常复杂的医源性胆管损伤病人。结果２１例最后均顺利恢复，随访８月至１０年均未再发生吻合口狭窄。结论发生医源性胆管损伤后，首次的修复至关重要，注意避免发生再狭窄。万一发生再狭窄，应当积极再手术，建立一个大吻合口径胆肠内引流。
Objective To improve the result of prevention and management of restricture after repairment for iatrogenic injury of bile duct.Methods Retrospective study of 21 patients of severe iatrogenic bile duct injury whom were finally operated on by the author from 1989 to1998.Results Outcome of the 21 cases were ideal.Conclusion The initial treatment for iatrogenic bile duct injury is crucial.Every effort should be made to prevent restricture,When restricture unfortunately occurs,reoperation should be carried out to establish a large anastomosis.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第8期474-476,共3页
Chinese Journal of Practical Surgery
关键词
医源性
胆管损伤
修复后
胆管狭窄
Iatrogenic injury of bile duct Restricture Operative repair
