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[1]许朱定,王 建,崔 彦,等.胆道引流预防肝破裂术后胆漏[J].医学研究与战创伤救治(原医学研究生学报),2008,10(05):346.
　XU Zhu-ding,WANG Jian,CUI Yan,et al.The bile tract drainage prevents the bile leakage after liver fracture[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2008,10(05):346.
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胆道引流预防肝破裂术后胆漏()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第10卷
期数:
2008年05期
页码:
346
栏目:
出版日期:
2008-09-20

文章信息/Info

Title:
The bile tract drainage prevents the bile leakage after liver fracture
文章编号:
1672-271X(2008)05-0346-03
作者:
许朱定1; 王 建1; 崔 彦1; 耿 磊1 ; 窦科峰2
1. 解放军第359医院外一科，江苏镇江 212001；2.第四军医大学西京医院肝胆外科，陕西西安 710032
Author(s):
XU Zhu-ding1; WANG Jian1; CUI Yan1; GENG Lei1; DOU Ke-feng2
1.Department of General Surgery,the 359th Hospital of PLA,Zhenjiang 212001,Jiangsu,China;2.Department of Hepato-biliary Surgery,Xijing Hospital,the 4th Military Medical University,Xi′an 710032,Shanxi,China
关键词:
肝破裂; 肝破裂修补术; 胆道引流; 胆漏
Keywords:
Liver fracture;  Hepatotomy;  Bile tract drainage;  Bile leakage
分类号:
R657.3
DOI:
-
文献标志码:
A
摘要:
目的 探讨胆道引流在预防肝破裂修补术后胆漏发生的作用。方法 通过对2003年1月～2007年12月收治的肝破裂修补术中置放胆道引流病例25例进行回顾性分析，并与1998年1月～2002年12月收治的肝破裂修补术未置放胆道引流的病例34例进行比较。结果 2003年1月～2007年12月收治的25例肝破裂修补术中置放胆管引流患者无胆漏发生；1998年1月～2002年12月收治的34例肝破裂修补术未置放胆道引流有6例(17.65%)发生胆漏，其中2例重新开腹置放膈下引流、胆道引流，全部病例无死亡。胆道引流的置放与否对预防胆漏有显著性差异(P<0.05)。结论 胆道引流预防肝破裂术后胆漏发生中的作用是肯定的，值得推广。
Abstract:
Objective To study the effect of bile tract drainage on the prevention of bile leakage in the patients with liver fracture. Methods 25 cases of liver fracture performed with bile tract drainage between January 2003 and December 2007 were reviewed. 34 cases of liver fracture without bile tract drainage from January 1998 to December 2002 were used as the control group. Results No bile leakage occurred in the cases with bile tract drainage, and 6 cases (17.65%) occurred in the cases without bile tract drainage. 2 cases with bile leakage were re-operated with inferior midriff cavity and bile tract drainage. No death occurred in the studied patients. The possibility of bile leakage in patients with bile tract drainage is much less than in those without bile tract drainage (P<0.05). Conclusion The bile tract drainage has the effect on preventing bile leakage in the patients with liver fracture.

参考文献/References:

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更新日期/Last Update: 2013-11-22