胆道再次手术73例分析(1)
 |
| 第1页 |
参见附件(2344KB，3页)。
【摘要】 目的 分析胆道再手术原因,总结诊治经验及教训。方法 对1998年5月至2009年8月收治的73例胆道再次手术的临床资料进行回顾性分析。结果 胆道再次手术的主要原因是肝胆管结石残留或复发,占全组病例的79.4%,其次为胆管狭窄、医源性损伤、肿瘤,再手术的方式以胆总管切开取石、肝叶段切除、胆肠吻合为主。结论 胆道再次手术既有胆道疾病本身因素,亦有医源性因素;充分的术前准备及术前评估,结合内镜或术中超声或造影等,以“取净结石、解除狭窄、通畅引流、去除病灶、防治复发”为原则,选择合理手术方式是减少胆道再次手术的关键。
【关键词】 胆道再次手术;肝胆管结石;诊治
The analysis of 73 patients with bile duct reoperation
DENG Bo-tao.
General surgery department in the first hospital affilited Fujian Medical Uniersity,Fujian,Sanming 365000,China
【Abstract】 Objective To analysis the Characteristics cause of bile duct reoperation.and
Summing up experiences and lessons.Methods Retrospective analysis of clinical data Right from May 1998 to August 2009 were treated 73 cases of biliary tract reoperation.Results Bile duct re-operation is mainly due to residual or recurrent bile duct stones, which occurred in 79.4% of the reviewed cases. The secondary causes were bile duct stricture, iatrogenic injury, tumor.Re-operation approach to the common bile duct stones, hepatic resection, biliary-enteric ......
您现在查看是摘要介绍页，详见PDF附件(2344KB，3页)。