腹腔镜胆囊切除术后胆漏原因分析及其对策.docVIP

精品论文 参考文献 腹腔镜胆囊切除术后胆漏原因分析及其对策 四川省凉山彝族自治州会东县人民医院 四川会东 615200 【摘 要】目的 探讨腹腔镜胆囊切除术后胆漏原因及其临床应对措施。方法 收集2014 年1月至2016 年1 月我院收治的腹腔镜胆囊切除术后胆漏患者30 例，对所有患者胆漏发生原因进行分析，对照组（n=15）接受开腹手术进行治疗，观察组（n=15）接受腹腔镜手术进行治疗，比较两组患者的手术时间、抗生素使用时间、首次排气时间、住院天数、治疗效果和生活质量。结果 两组患者均最终完全治愈，未出现死亡病例；观察组患者手术时间、抗生素使用时间、首次排气时间、住院天数、生活质量均明显优于对照组，Plt;0.05。结论 迷走或毛细胆道损伤、肝外胆道损伤、胆管残端夹闭不全、胆管残端漏是导致胆漏的重要原因，再次腹腔镜手术治疗法是理想治疗方式，其具有手术创伤小、术后恢复快的优势，值得推广应用。 【关键词】腹腔镜；胆囊切除术；胆漏；原因分析；对策 Analyzing the causes of bile leakage after laparoscopic cholecystectomy and its countermeasures Tang guangyong Liangshan yi autonomous prefecture，sichuan province east county peoples hospital Sichuan Huidong 615200 【Abstract 】 objective to explore the reasons for bile leakage after laparoscopic cholecystectomy and clinical response. Methods between January 2014 and January 2014 of our hospital in 30 patients with bile leakage after laparoscopic cholecystectomy，in all patients with bile leakage reasons were analyzed，and the control group（n = 15）open operation for treatment，the observation group（n = 15）of laparoscopic surgery treatment，compared two groups of operation time，antibiotic use time，for the first time in patients with exhaust time，hospitalization days，therapeutic effect and quality of life. The results of two groups of patients were completely cured and does not appear deaths；Observation group of patients with surgical time，antibiotic use time，exhaust time，hospitalization days，for the first time the quality of life were significantly better than the control group，P lt; 0.05）. Conclusions vagus or capillary bile duct injury，extrahepatic biliary injury，bile duct residual clip is not complete，bile duct residual leakage is the important cause of bile leakage，laparoscopic surgery therapy is an ideal treatment again，it has the advantages of little injury and pain，rapid recovery，the operation，is worthy of popularization and application. 【Key words 】 laparoscopic；Cholecystectomy；Bile leakage；The reason analy