摘要
目的:探讨腹腔镜胆囊切除术(LC)后迟发性胆漏的早期诊断、治疗及预防。方法:对笔者所在医院2011年1月-2016年6月收治的LC后出现迟发性胆漏的42例患者的发病特点、诊断、治疗及预后进行回顾性分析。结果:根据患者的实际情况采用腹腔置管引流、十二指肠镜鼻胆管引流、腹腔镜或剖腹探查手术治疗后,所有患者均痊愈出院,无死亡病例。平均住院(11.0±3.2)d,无腹腔出血、感染等并发症出现。出院时复查B超、核磁共振胆道水成像或胆道造影显示胆道无狭窄、扩张,造影剂排泄通畅,随访生活质量良好。结论:LC后迟发性胆漏有其自身特点,术中应尽可能避免,发生后应尽早诊断,视患者具体情况行规范化、个体化的处理。
Objective：To investigate the early diagnosis,treatment and prevention of delayed bile leakage after laparoscopic cholecystectomy（LC）.Method： The characteristics,diagnosis,treatment and prognosis of 42 patients with delayed bile leakage after LC in our hospital from January 2011 to June 2016 were analyzed retrospectively.Result：According to the actual situation of the patients,abdominal drainage,duodenoscopic nasobiliary drainage,laparoscopic or laparotomy were performed.All patients were cured and discharged without death,with an average hospital stay of （11.0±3.2）days.No abdominal bleeding,infection and other complications were found.B-ultrasonography,magnetic resonance cholangiography or cholangiography showed that there was no stenosis,expansion in bile duct,and all patients have good quality follow-up of life.Conclusion：Delayed bile leakage after LC has its own characteristics,and should be avoided as far as possible insurgery.When happened,it should be diagnosed as soon as possible,and standardized,individualized treatment should be performed.
出处
《中外医学研究》
2018年第28期159-161,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
腹腔镜胆囊切除术
迟发性胆漏
早期诊断
治疗
预防
腹腔引流
Laparoscopic cholecystectomy
Delayed bile leakage
Early diagnosis
Treatment
Prevention
Peritoneal drainage
