Early diagnosis and treatment of 16 cases with iatrogenic bile duct injury

CHEN Sheng-kai; et al

doi:10.13406/j.cnki.cyxb.2010.05.027

您当前的位置：

首页 >

文章列表页 >

Early diagnosis and treatment of 16 cases with iatrogenic bile duct injury

更新时间：2024-01-17

- Early diagnosis and treatment of 16 cases with iatrogenic bile duct injury
- Journal of Chongqing Medical University Vol. 35, Issue 5, Pages: 792-795(2010)
- 作者机构：
  
  重庆市第三人民医院肝胆外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.05.027
  CLC： R657.4
- Published：2010，
扫描看全文
[1]陈圣开,何世举.医源性胆管损伤16例早期诊治分析[J].重庆医科大学学报,2010,35(05):792-795.

CHEN Sheng-kai, et al. Early diagnosis and treatment of 16 cases with iatrogenic bile duct injury. [J]. Journal of Chongqing Medical University 35(5):792-795(2010)
[1]陈圣开,何世举.医源性胆管损伤16例早期诊治分析[J].重庆医科大学学报,2010,35(05):792-795. DOI： 10.13406/j.cnki.cyxb.2010.05.027.

CHEN Sheng-kai, et al. Early diagnosis and treatment of 16 cases with iatrogenic bile duct injury. [J]. Journal of Chongqing Medical University 35(5):792-795(2010) DOI： 10.13406/j.cnki.cyxb.2010.05.027.

摘要

目的:探讨医源性胆管损伤的早期诊断与治疗。方法:回顾性分析我院1997年7月至2009年9月16例医源性胆管损伤的有关临床资料。胆管损伤按Bismuth分型:Ⅰ型5例

Ⅱ型9例

Ⅲ型0例

Ⅳ型2例

Ⅴ型0例。治疗措施:胆管空肠Roux-en Y吻合加胆管内支撑引流6例

胆管缝合未置T管内支撑引流2例

胆管缝合置T管内支撑引流3例

用脐静脉修补置T管内支撑引流1例

用胆囊管修补置T管内支撑引流2例

单纯腹腔引流2例。结果:随访3月～12年。效果优良11例

占68.8%（11/16）;效果差5例

占31.2%（5/16）。结论:医源性胆管损伤早期发现和适当治疗效果较好

延迟发现和治疗不当效果较差。胆管缝合修补置T管内支撑引流和胆肠Roux-en Y吻合加胆管内支撑引流是疗效较好的早期治疗方式。

Abstract

Objective:To explore the early diagnosis and treatment of iatrogenic bile duct injury.Methods:The clinical data of 16 patients with iatrogenic bile duct injury from July 1997 to September 2009 were analyzed retrospectively.The clinical types of the bile duct injuries:BismuthⅠ(5 cases)

BismuthⅡ(9 cases)

Bismuth Ⅲ(0 case)

Bismuth Ⅳ(2 cases)

BismuthⅤ(0 case).The treatment of the bile duct injuries:Roux-enY biliary-enteric anastomosis with stent tube drainage(6 cases)

bile duct suture without T tube drainage(2 cases)

bile duct suture with T tube drainage(3 cases)

bile duct repair utilizing umbilical vein with T tube drainage(1 case)

bile duct repair utilizing cystic duct with T tube drainage(2 cases)

single drainage of abdominal cavity(2 cases).Results:All patients had been followed up for 3 months to 12 years.11(68.8%

11/16)cases obtained better effect

while the other 5(31.2%

5/16)cases received second operation because of unsatisfactory effect.Conclusion:Early diagnosis and correct treatment of iatrogenic bile duct injury are necessary for better effect.Otherwise

the effect will be unsatisfactory.Both bile duct suture or repair with T tube drainage and Roux-en Y biliary-enteric anastomosis with stent tube drainage are better treatment in the early stage of iatrogenic bile duct injury.

关键词

医源性胆管损伤诊断治疗

Keywords

Iatrogenic bile duct injurydiagnosistreatment

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Research progress in the diagnosis and treatment of non-eosinophilic asthma

Clinical features and treatment outcome of scrotal abscess: an analysis of 24 cases

Diagnosis and treatment strategies for retroperitoneal vascular leiomyosarcoma

Advances in clinical management of thyroid cancer in children and adolescents

Diagnosis, treatment and research status of functional cognitive disorder

Related Author

Zhang Xinyue

Shao Zijian

Lian Kang

Wu Demei

Yuan Bin

Wu Fang

Tang Lanfang

Xie Xiaodu

Related Institution

Department of Traditional Chinese Medicine，Children’s Hospital，Zhejiang University School of Medicine/ National Clinical Research Center for Child Health

Department of Pediatrics，The Affiliated Hospital of Nanjing University of Chinese Medicine，The First Clinical Medical College of Nanjing University of Chinese Medicine

Department of Respiratory Medicine，Children’s Hospital，Zhejiang University School of Medicine/ National Clinical Research Center for Child Health

Department of Urology，The Second Affiliated Hospital of Chongqing Medical University, The Second Affiliated Hospital of Chongqing Medical University

Department of Anesthesiology, The Second Affiliated Hospital of Chongqing Medical University

⁰