| 摘要: |
| 目的：探讨预防胆瘘发生和及时发现诊断胆瘘的方法以及处理胆瘘的适宜措施。方法：分析9例LC相关的胆瘘病例的诊断治疗措施。方法：3例胆瘘经持续引流治愈，2例经CT定位穿刺置管引流治愈，1例经EST＋ENBD治愈，手术3例中，2例胆总管T管引流治愈，1例经胆总管端端吻合T管引流治愈。结论：胆瘘的发生与Luschka管及副肝管损伤，胆囊管残端瘘，肝外胆管损伤及LC胆总管探查术后胆瘘等有关。故正确按手术原则和安全操作规程行LC及根据实际情况置放引流管是预防和及时发现胆瘘的措施，发生胆瘘需明确部位和性质，并根据具体情况行相应的引流管引流，内镜治疗或手术。 |
| 关键词: 胆瘘 引流 内镜治疗 腹腔镜胆囊切除术 |
| DOI： |
| 修订日期：2002-01-31 |
| 基金项目: |
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| The Management of Bile Leakage after Laparoscopic Cholecystectomy |
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| Abstract: |
| Objective To explore the preventive and diagnostic policy and the appropriate treatment in patients with bile leakage following laparoscopic cholecystectomy.Methods The diagnosis and treatment of 9 cases with bile leakage after laparoscopic cholcystecto |
| Key words: bile leakage,laparoscopic cholecystectomy,drainage,endoscopic therapy,operation |
