逆行胆囊切除术对预防医源性胆管损伤的意义

• 作 者: 郑兴钟 曾珍
• 机 构: 成都市天府新区籍田中心卫生院,四川 成都,610222
• 出 处: 医学信息
• 发表日期: 2016年18期
• 关键词: Retrograde Cholecystectomy Iatrogenic bile duct injury

目的探讨逆行胆囊切除术对预防医源性胆管损伤的意义。方法选取我院收治的280例行胆囊切除手术患者，根据胆囊切除术采用顺行或者逆行将患者分为两组，其中顺行组133例，逆行组147例，观察两组患者的肥胖、局部粘连、解剖变异以及发生医源性胆管损伤情况。结果顺行组肥胖、局部粘连解剖不清、胆囊管解剖变异情况与逆行组对比，数据对比差异不具有统计学意义，>0.05，逆行组患者无医源性胆管损伤发生。顺行组患者医源性胆管损伤发生率为1.47%，0.05,retrograde group of patients with iatrogenic bile duct injury. Anterograde group of patients with iatrogenic bile duct injury incidence was 1.47%, <0.05,Conclusion The retrograde cholecystectomy,can effectively prevent the occurrence of iatrogenic bile duct injury,at the same time,the obesity,local adhesion and retrograde cholecystectomy patients with gallbladder triangle anatomical variations have more advantages compared with anterograde cholecystectomy.