【摘要】 目的 胆囊切除术中胆道损伤的原因及防治方法。方法 从1998—2007年胆囊切除术中胆道损伤临床资料进行回顾性分析。结果 在胆囊切除时胆囊三角区解剖不清是术中医源性胆道损伤发生的主要原因,其次是解剖变异。结论 胆囊切除时必须认清“三管”关系,有无解剖变异,以及切除胆囊后仔细观察有无胆汁渗出,胆管进行性增粗是预防医源性胆道损伤的关键。

    【关键词】 医源性胆管损伤诊断预防

    中图分类号:R657.4文献标识号:A文章编号:1005-0515(2010)09-063-01

    【Abstract】Objective cholecystectomy bile duct injury causes and prevention methods. Methods from 1992-2007 in cholecystectomy bile duct injury were retrospectively analyzed. Results cholecystectomy unclear when the anatomic triangle gallbladder surgery in iatrogenic bile duct injury is the main place, followed by variations. Conclusion cholecystectomy must understand that the "three" relationship, with or without anatomical variation, and carefully observed after cholecystectomy with or without bile leakage, bile duct progressive enlargement is the key to prevention of iatrogenic bile duct injury.

    【Key words】 diagnosis of iatrogenic bile duct injury prevention

    近年来,医源性胆管损伤是上腹部手术的严重并发症,随着胆道外科的发展和手术数量的不断增加,医源性胆管损伤的发病率日趋增高 ......