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Prophylaxis and Treatment of Biliary Fistula after the Removal of TTube:Report of 12 Cases

摘要:目的: 探討拔T管后出現膽漏的預防和治療。 方法 :對1986～2006年間取T管后發生膽漏的12例臨床資料作回顧性分析。 結果 :12例經保守治療后均痊愈。 結論 :拔T管后膽漏的發生是多因素的結果,改進手術技巧,適當延長拔T管的時間有助于預防膽漏的發生。膽漏發生后及時用導尿管置入竇道作引流是首選的治療方法。Abstract: Objective: To investigate the prophylaxis and treatment of biliary fistula after removal of Ttube. Methods : The clinical data of 12 patients with biliary fistula after removal of Ttube from 1986 to 2006 were analyzed retrospectively. Results : Fistula was cured with conservative treatment in 12 patients. Conclusion : Many factors may affect the development of biliary fistula after removeal of Ttube. Improvement of surgercial technique and the proper prolongation for the time of removal of Ttube may contribute to prophylaxis the biliary fistula. Inserting a Nelaton’s catheter into the sinus tract to drain is the first choice to treat the local bile peritonitis that has occurred.