【摘要】 目的 :探讨医源性胆道损伤的预防和诊治方法。方法 :对29例医源性胆道损伤的临床资料进行回顾性分析。结果 :对29例共施行手术31次。其中2次手术者4例。手术方式为胆管端端吻合10例 ,胆总管十二指肠吻合术2例 ,胆管壁缺损修补5例 ,胆管空肠Roux -en -Y吻合10例 ,单纯缝线拆除2例。15例随访1～5a ,优良率73 33 %。结论 :胆囊切除术是医源性胆道损伤的主要原因 ,是可以避免的。肝管空肠Roux -en -Y吻合术是医源性胆道损伤或损伤性狭窄修复重建的首选方法。更多还原

【Abstract】 Objective:To investigate the preventive measures and the diagnosis and treatment of iatrogenic bile duct injury. Methods:The clinical data of 29 cases of iatrogenic bile duct in jury had been analysed retrospectively.Results: 31 operations were performed on 29 patients.4 of them underwent second operation.Operation procedure as the following:end to end choledochocholedochostomy in 10 cases,choledochoduodenostomy in 2 cases,choledochojejunum Roux-en-Y anastomosis in 10 cases,repearing of duct defect in 5 cases.Removing of suture simply in 2 case.15 patients were followed up and 73.33% of them had a good result. Conclusion:Cholecystectomy as a leading cause of iaotrogenic bile duct injury can be avoided.Hepaticojejunostomy is preferable procedure in the repairment and reconstruction of bile duct injury,especially in serious damage with traumatic stricutre.更多还原