超声引导下经皮腹腔穿刺置管引流术在肝胆外科手术后胆漏形成腹腔积液治疗中的应用

高志玲; 徐菲; 吴凡; 何峥

doi:10.3969/j.issn.1001-5256.2017.10.023

超声引导下经皮腹腔穿刺置管引流术在肝胆外科手术后胆漏形成腹腔积液治疗中的应用

DOI: 10.3969/j.issn.1001-5256.2017.10.023

上海中医药大学附属曙光医院超声诊断科

基金项目:

上海申康医院发展中心临床辅助科室能力建设项目(超声医学)(SHDC22015014)；

详细信息

中图分类号: R657.3
计量
- 文章访问数: 2125
- HTML全文浏览量: 67
- PDF下载量: 381
- 被引次数: 0
出版历程
- 收稿日期: 2017-03-20
- 出版日期: 2017-10-20

Clinical effect of ultrasound-guided percutaneous abdominocentesis and catheter drainage in treatment of peritoneal effusion caused by bile leakage after hepatobiliary surgery

Department of Ultrasonic Diagnosis, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Research funding:

摘要

摘要: 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。
- 超声引导 /
- 穿刺 /
- 引流 /
- 胆漏
Abstract: 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.
- ultrasonic-guided /
- puncture /
- drainage /
- bile leakage

HTML全文

参考文献(6)

[1]WANG RG, LI WM, ZHENG F, et al.Biliary leakage after laparoscopic cholecystectomy (LC) treated with endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic naso-biliary drainage (ENBD) :An analysis of 10 case[J].Chin J Pract Surg, 2015, 35 (7) :763-765. (in Chinese) 王瑞官, 李为民, 郑方, 等.应用内镜下逆行胰胆管造影、内镜下鼻胆管引流术治疗腹腔镜胆囊切除术后胆漏10例分析[J].中国实用外科杂志, 2015, 35 (7) :763-765.

[2]PAN M, CHEN XP.Research advances in the causes and prevention and treatment of bile leakage after laparoscopic cholecystectomy[J].J Laparo Surg, 2015, 20 (2) :157-160. (in Chinese) 潘勐, 陈晓鹏.腹腔镜胆囊切除术后胆漏的原因分析及防治进展[J].腹腔镜外科杂志, 2015, 20 (2) :157-160.

[3]ZENG GY, LI C, NIU YJ.Causes and prevention and treatment of bile leakage after hepatobiliary surgery[J].Chin J Mod Drug Appl, 2015, 9 (12) :55-56. (in Chinese) 曾高云, 李超, 牛延军.肝胆外科手术后胆漏的原因及防治探讨[J].中国现代药物应用, 2015, 9 (12) :55-56.

[4]DENG R, ZHU L, LI PS.Clinical analysis of bile leakage during laparoscopic cholecystecromy[J].Chin Gen Prac, 2016, 14 (9) :1492-1494. (in Chinese) 邓锐, 褚亮, 李培生.腹腔镜胆囊切除术并发胆漏的临床分析[J].中华全科医学, 2016, 14 (9) :1492-1494.

[5]CHEN G, LIU HZ, LI L.2015 Standards of Practice Committee of the American Society for Gaserointestinal Endoscopy guideline:the role of ERCP in benign diseases of the biliary tract[J].J Clin Hepatol, 2015, 31 (7) :1023-1026. (in Chinese) 陈刚, 刘洪译, 李立.2015年美国胃肠内镜学会执行委员会指南:经内镜逆行胰胆管造影在胆道良性疾病中的作用[J].临床肝胆病杂志, 2015, 31 (7) :1023-1026.

[6]ZHANG W, YE JQ, SUN ZY, et al.Clinical research on laparoscopic cholecystectomy for patients who had previous abdominal surgery[J].Chin J Med Offic, 2015, 43 (6) :629-630, 633. (in Chinese) 张巍, 叶剑桥, 孙忠怡, 等.有腹部手术史患者行腹腔镜胆囊切除术的临床研究[J].临床军医杂志, 2015, 43 (6) :629-630, 633.

施引文献

资源附件(0)

访问统计