摘要
目的 :探讨腹腔镜胆囊切除术 (LC)中胆囊破损、胆汁溢入腹腔的原因和预防及腹腔冲洗的选择与方法。方法 :5 2例胆汁外溢中 ,18例腹腔冲洗 ,34例不冲洗。结果 :冲洗组术后出现发热或下腹不适 5例 (2 7.78% ) ,非冲洗组 2例 (5 .88% )。全组均无腹腔残余感染发生。结论 :摒弃传统对所有胆汁外溢病例不加选择进行腹腔冲洗的做法 ,建议选择性地对感染性胆汁、泥沙状稠厚胆溢或伴有出血影响术野者 ,选用改变体位的少量、多次、多部位冲洗法。
Objective:To study the causes and preventive methods of gallbladder breakage and flow of gall into abdomen in laparoscopic cholecystectomy(LC) and to analyze relevant intra abdominal flushing.Methods:Eighteen cases with intra abdominal flushing and 34 cases without intra abdominal flushing among the 52 cases of flow of bile into abdomen were observed.Results:Five cases of fever or lower abdominal disorder appear in the flushing group and 2 cases in the non flushing group(accounting for 27.78% and 5.88% respectively).Comparison of the two groups indicates that the proportion of adverse effects in the non flushing group is lower that in the flushing group( P <0.05).There is no postoperative infection in the non flushing group.Conclusions:The traditional indiscriminate choice of intra abdominal flushing for bile overflow shall be abandoned and the flushing with small amount liquid for many times and for different locations while changing the position of the body shall be adopted for the patients with infected bile,with flow of sand like thick bile or with bleeding which affects visual field.
出处
《蚌埠医学院学报》
CAS
2001年第3期222-223,共2页
Journal of Bengbu Medical College
