摘要：目的：探讨肝胆手术后胆漏的防治措施。方法：回顾性分析近十年来我院诊治的11例胆漏患者的临床资料。结果：6例患者经常规的通畅引流、营养支持及预防感染等治疗，2～3周治愈；2例患者在B超声波引导下穿刺置管引流，3周后治愈；2例患者行2次手术引流后4周治愈，1例带管出院。上述患者住院期间均未出现新的并发症。结论：正确的手术方法，熟练的手术操作，充分的引流是预防损伤性胆漏的关键；术后认真、严密的观察，早发现、早诊断及选择正确的处理方法是治疗术后胆漏，避免造成严重后果的重要保证。

    关键词：肝胆手术；胆漏；诊断；治疗

    Diagnosis and Treatment of Bile Leakage After Hepatobiliary Surgery

    LI Li-hai

    (Shilong Hospital of Gaozhou City, Guangdong Gaozhou 525200, China)

    Abstract：Objective：To investigate prevention, diagnosis and treatment of postoperative biliary leakage caused by hepatobiliary surgery. Method: The clinical datum of 11 patients with bile leakage after hepatobiliary surgery have been analyzed retrospectively in our hospital for recent 10 years. Result: 6 patients treated with conventional draining, nutritional supportting and prevention infection were cured after 2～3 weeks; 2 patients were cured with ultrasionic-guided puncture and drainage after 3 weeks treatment; another 2 patients were cured with operative drainage after 4 weeks; 1 patient discharged with catheter. All patients didn’t appeared new complications during hospital stay. Conclusion: Correct operation, perfect operative procedure and sufficient draining were important juncture to prevent bile leakage, the earnest and rigorous observation of postoperation, early detection , early diagnosis and correct measurement were guarantee to advoid severe consequences. ......