复发性胆道结石再次胆道手术的诊治
Electronic Journal of Clinical Medical Literature(2020)
Abstract
目的 探讨复发性胆道结石再次胆道手术的临床诊治.方法 选取2009年6月-2019年6月入住我院的复发性胆道结石患者82例临床资料进行回顾性分析,观察患者手术用时、术中出血量、住院时长及出现并发症的概率.结果 患者手术用时平均(127.6+20.5)min,术中出血量为(113.2+10.1)ml,住院时长为(12.5+2.3)天.术后并发胆瘘1例,8例发生切口脂肪液化,2例切口感染,随诊病例1+年,3例发生肝外胆道狭窄(术后行MRI+胆道水成像).术后并发症发生率17.1%.结论 在外科手术治疗复发性胆道结石患者过程中,术前对影像检查的评估,术中对手术操作方法的精细要求是确保手术成功和临床治愈的关键.
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