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ID:24801881
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页数:5页
时间:2018-11-16
《二次胆道手术治疗肝胆管结石的临床分析》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、二次胆道手术治疗肝胆管结石的临床分析武汉市黄陂区人民医院外科湖北武汉430300【摘要】目的:分析二次胆道手术治疗肝胆管结石的临床疗效。方法:对我院在2013年02月到2015年01月收治的90例肝肭管结石患者进行手术治疗,90例患者中都有残留结石存在,其中22例患者是首次治疗手术,其余均进行二次胆道手术治疗。结石残留在肝内胆管的患者占38例,在胆总管的患者占26例,在肝内外胆道的患者占26例,分析分析二次肭道手术治疗肝胆管结石的临床疗效。结果:90例肝胆管结石患者进行二次胆道手术治疗后,存活的患者有88例,2例患者因为出血过多而死亡,死亡率在2.2%左右。术
2、后出现2例患者胸腔积液、2例患者出现了膈下感染现象,4例患者出现了肝脓肿,6例患者发生了胆道出血,2例患者出现了肠瘘,术后的发生的总并发症率是17.8%。经过及时的发现和合理正确的处理后,88例患者都在治愈后出院。结论:通过对我院的肝胆管结石患者进行二次胆道手术治疗的临床疗效观察,二次肭道手术后的并发症发生率较高,因此对于第一次手术治疗后出现的结石残留和结石复发的患者要给以重视,确诊后进行积极地治疗,注重术后的护理治疗,减少肝胆管结石的复发率,提高首次手术的成功率。【关键词】二次胆道手术;肝胆管结石;临床分析[Abstract]Objective:toanal
3、yzetheclinicaleffectofthetreatmentoftwobiliarytractsurgeryinthetreatmentofbileductstones.Methods:inourhospitalinFebruary2013to2015Januarywere90casesofhepatolithiasispatientsweretreatedsurgically,90patientswithresidualstonesexist,including22casesofpatientsisthefirstsurgery,therestwer
4、esecondarybiliarysurgery.Residualstonesintheintrahepaticbileductin38cases,26casesofpatientsinthecommonbileduct,26casesofpatientswithbiliarytractinliverandoutside,analysisandanalysisoftheclinicalefficacyoftwobiliaryductsurgeryinthetreatmentofbileductstones.Results:90casesofpatientswi
5、thbileductstonesafterthetwobiliarysurgerytreatment,thesurvivalofpatientswith88cases,2patientsbecauseofexcessivebleedinganddeath,themortalityrateofabout2.2%.Postoperativeappearedin2casesofpatientswithpleuraleffusionand2casesappearedsubphrenicinfection,4caseswithliverabscess,6patients
6、occurredbiliarytracthemorrhage,2casesofpatientswithintestinalfistula,postoperativeoccurrenceofthetotalcomplicationratewas17.8%.Afteratimelydiscoveryandreasonabletreatment,88patientsweredischargedfromhospitalaftertreatment.Conclusion:throughinourhospitalbileductstonesinpatientswithse
7、condarybiliarysurgeryinthetreatmentofclinicalefficacywereobserved,aftersecondaryoperationonbiliarytractcomplicationrateishigher,soforpatientsafterthefirstsurgicaltreatmentofresidualstonesandstonerecurrencetogiveattention,definitediagnosisofactivetreatment,payattentiontopostoperative
8、nursingcareinthetre
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