【摘要】 目的 探讨医源性胆道损伤的原因和处理方法。方法 对30例医源性胆道损伤的损伤情况及处理方法进行分析。结果 医源性胆道损伤多发生在中小型医院，40岁以内的中青年外科医生发生率较高。发生在开腹胆囊切除术者占60%，腹腔镜胆囊切除术者占23%。损伤部位主要在胆总管、肝总管。胆管横断伤占60%。结论 培养和提高中青年医生的技术水平和手术技巧对防止医源性胆道损伤具有重要意义。根据胆道损伤类型选择适宜的手术方法是修复胆道损伤提高治疗效果的关键。

    关键词 医源性胆道损伤 防治

    A clinical analysis on30cases of iatrogenic biliary duct

    Xiang Jiaqing，Hu Wenke，Zheng Jun，et al.

    Department of Hepatobiliary Surgery，The First Collage of Clinical Medical Science，Three Gorge University，Yichang443003.

    【Abstract】 Objective To study the reason of iatrgenic biliary tract injuryand its management method.Methods To analyse30cases of iatrogenic biliary tractcircumstance and handleing mthod.Results Iatrogenic biliary tract hurt mainly take place in small scaled hospital.In40years old doctors including the youth surgeons occurrence rete is higher.It takes place primaryily at open cholecystectomy(60%).Laparoscopic cholecystectomy occupy23%.Hurt the part main the of choledochus and common hepatic duct.The bile duct crossing harms account for60%.Conclusion To educate the technique level of youth docter with surgical operation technique to prevent biliary tract hurt is of important meanting ......