研究肝胆手术胆瘘的外科治疗效果.docVIP

精品论文 参考文献 研究肝胆手术胆瘘的外科治疗效果 黑龙江省龙江县第一人民医院 161100 【摘 要】目的：研究分析外科治疗肝胆手术胆瘘的临床疗效观察。方法：此次研究的对象是选择2013年5月-2014年5月期间我院收治的肝胆手术胆瘘患者25例，将其临床资料进行回顾性分析，并对患者的胆瘘特点进行分析，给予患者手术治疗或者引流联合保守治疗，对相应指征进行分析，并记录治疗效果。结果：本组的25例肝胆手术胆瘘患者中，20例行保守治疗，占80%，5例再次行手术治疗，占20%，所有患者均痊愈，治愈率为100%；同时，再次手术组和保守治疗组的引流时间分别为（22.2plusmn;7.3）、（16.5plusmn;4.8）d，组间比较差异有统计学意义（Plt;0.05）。结论：肝胆手术胆瘘具有复杂的发病机制，应该将患者的实际情况作为基本依据，制定针对性治疗方案，并且与引流治疗相配合，使并发症发生率降低，提高治愈率。 【关键词】 外科治疗 肝胆手术胆瘘 治疗效果 [Abstract] Objective：To study the clinical effect of surgical treatment of biliary fistula in patients with liver and gallbladder surgery. Methods：the object of the study is selected 25 cases of hepatobiliary surgery in patients with biliary fistula of May 2014 may in our hospital during the period of 2013，their clinical data were retrospective analysis，and for patients with biliary fistula characteristics analysis，give patients treatment or drainage combined with conservative treatment，of corresponding indications were analyzed，and the curative effect was observed. Results：in this group of 25 cases of hepatobiliary surgery of biliary fistula patients，20 cases were treated with conservative treatment，accounting for 80%，5 cases again surgery，accounting for 20%，all the patients were cured，the cure rate was 100%；at the same time，again the surgery group and conservative treatment group drainage time respectively（22.2 + 7.3），（16.5 + 4.8）days，the difference between the two groups have statistical significance（P lt; 0.05）. Conclusion：hepatobiliary surgery of biliary fistula has complex pathogenesis，should be the actual situation of the patient as a fundamental basis to develop targeted therapies，and drainage in the treatment of combined，can reduce the rate of the incidence of complications，improve the cure rate. [Key words] surgical treatment of biliary fistula in the treatment of liver and gallbladder surgery 胆瘘是肝胆手术后常见的一种并发症，具有较高的发生率，约为1%-3%左右，主要指的是因为术中操作使胆道损伤导致胆汁持续性外漏的一种病症，肝胆手术后出现胆瘘，不仅增加患者的痛苦，还容易出现腹膜炎症，不利于术后恢复，并且严重的情况下，还容易导致患者死亡，所以及时采取有