目的 探讨超声引导下经皮腹腔穿刺置管引流术对肝胆外科术后并发胆漏所形成的腹腔积液的治疗效果.方法 回顾性分析2011年1月-2016年9月上海中医药大学附属曙光医院15例肝胆外科术后胆漏形成腹腔积液患者行超声引导下腹腔穿刺置管引流术的临床资料.结果 所有患者腹腔穿刺置管引流均一次性穿刺成功,术中、术后无并发症.15例患者全部治愈出院.结论 超声引导下经皮腹腔穿刺置管引流术治疗肝胆外科术后并发胆漏所致腹腔积液具有疗效确切、安全可靠等优点,值得在临床上推广应用.%Objective To investigate the clinical effect of ultrasound-guided percutaneous abdominocentesis and catheter drainage in the treatment of peritoneal effusion caused by bile leakage after hepatobiliary surgery.Methods A retrospective analysis was performed for the clinical data of 15 patients with peritoneal effusion caused by bile leakage after hepatobiliary surgery who underwent ultrasound-guided percutaneous abdominocentesis and catheter drainage in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from January 2011 to September 2016.Results All the patients underwent ultrasound-guided abdominocentesis and catheter drainage once successfully,and there were no intraoperative or postoperative complications.All the patients were cured and discharged.Conclusion Ultrasound-guided percutaneous abdominocentesis and catheter drainage have a good clinical effect and high safety in the treatment of peritoneal effusion caused by bile leakage after hepatobiliary surgery and thus holds promise for clinical application.
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