| 摘要: |
| ［目的］探讨肝外胆道手术中所致十二指肠损伤的预防与治疗。［方法］回顾１９９０年～２００４年随机抽取76例肝外胆道手术病例中，有１８例造成十二指肠损伤临床分析。［结果］全组有８例为十二指肠后壁损伤；１０例十二指肠前壁损伤；全组病例中造成 十二指肠损伤１８例，发生率为２３．７%（１８／７６）;术后并发症４例，发生率为５．２％（４／７６）;死亡２例，死亡率２．７％（２／７６）。［结论］肝外胆道手术对十二指肠损伤不可忽视，主要以预防为主，一旦损伤，应积极采取适当合理的术式，是提高治愈率降低并发症和死亡率的关键。 |
| 关键词: 肝外胆道手术 十二指肠 损伤 |
| DOI：10.11724/jdmu.2006.05.21 |
| 分类号:R657.4 |
| 基金项目: |
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| Prevention and treatment in case of operation of bile duct that cause duodenal hurt |
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LIU Yue1, GONG Peng2, WANG Zhong-yu2
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1.Department of General Surgery,the Second People Hospital of Yingkou, Yingkou 11500,China;2.Department of General Surgery,the Dalian Clinical College of Dalian Medical University,Dalian 116011， China
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| Abstract: |
| ［Objective］ To study Prevention and treatment in case of operation of the bile duct that cause duodenal hurt.［Methods］ Diagnosisand results of surgical treatment were analysed retrospectively of18cases of duodenal hurt .in 76case of of operation of the bile duct since 1990-2004.［Results］ have 8 case of hurt of duodenal back and 10 case of hurt of duodenal front;Among them duodenal hurt was 18 case ,rate was23.7%(18/76);The postoperative complication was 4 case ,rate was 5.2%(4/76);death was2 case,rate was 2.7%(2/76).［Conclusion］ it can't neglect that operation of the bile duct cause duodenal hurt. Prevention is importment.if hurt, should adopt actively the appropriate and reasonable type is a key that raises the cure rate to lower the complications and death rate. |
| Key words: operation of the bile duct duodenal hurt |
