胆道再次手术临床处理分析

摘要

目的：探讨胆道疾病患者中再次手术的原因和临床处理方式。方法：2011年7月-2014年6月收治再次胆道手术患者150例，作为研究对象，对其临床资料进行回顾性分析，统计分析再次手术的原因和手术方式，以及术后并发症的发生情况。结果：患者再次胆道手术，肝内胆管结石残留或复发是最主要原因(76.7%)；再次手术方式中，肝叶切除术所占比例最大(64.0%)，患者再次手术后并发症主要类型是感染(50.7%)。结论：对于再次胆道手术患者而言，既有胆道疾病自身的原因，也有医源性因素。因此，做好术前准备工作，根据病情选择合适的手术方式，保证手术过程的严谨性，能够降低患者再次手术的概率。%Objective:To explore the reason and clinical treatment method of reoperation in patients with biliary tract disease. Methods:150 patients with biliary tract reoperation were selected from July 2011 to June 2014.They were as research objects.The clinical data were retrospectively analyzed.The reason and operation method of reoperation and the postoperative complications occurrence condition were statistically analyzed.Results:In the patients with biliary tract reoperation,the intrahepatic bile duct stones residual or recurrence was the main reason(76.7%).In the reoperation method,the hepalobectomy accounted for the largest proportion (64%).The main type of complications after reoperation was infection(50.7%).Conclusion:For the patients with biliary tract reoperation,there had biliary tract disease itself causes,also had iatrogenic factors.Therefore,doing preoperative preparation work,selecting the proper operation according to the condition and ensuring operation process rigor can reduce the probability of reoperation in patients.