中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (07): 554-557.
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梁力建
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医源性胆管损伤是腹部手术尤其是胆囊切除术后的严重并发症,目前发生率有上升的趋势。但是,对胆管损伤的病因、诊断还有不少容易忽视的情况,造成认识和诊断的困难,对胆管损伤的分类目前尚未统一。医源性胆管损伤重在预防,其中最重要的预防是临床医生重视和熟悉解剖,一旦发生损伤,如由有经验的胆道外科专科医生处理,有可能获得较好的治疗效果。合并血管损伤特别是右肝动脉的损伤应引起临床的重视。
关键词: 胆管损伤, 胆囊切除术
Abstract:
Iatrogenic bile duct injury: recent advances and prospects LIANG Li-jian. Department of Hepatobiliary Surgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080,China Abstract Iatrogenic bile duct injury is one of severe complications of abdominal surgery with an increasing morbidity, especially after cholecystectomy. Less attention was paid to several special issues of the etiology of bile duct injury which may toughen the diagnosis. Moreover, a consensus on the classification of bile duct injury is still reaching yet. To iatrogenic bile duct injury, the crucial alternative to prevention should be an intimate knowledge of the regional anatomy and there will be a better prognosis if treatment is given and supervised by an experienced specialist of biliary surgery. More attention should be paid to the associated vascular injury, especially to associated injury of the right hepatic artery.
Key words: bile duct injury, cholecystectomy
梁力建. 医源性胆管损伤的现状和展望[J]. 中国实用外科杂志, 2011, 31(07): 554-557.
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