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[复杂胆囊炎外科治疗中胆管及肝下隐窝的最佳引流]

[The optimal drainage of the bile ducts and subhepatic recess in the surgical treatment of complicated cholecystitis].

作者信息

Andriushchenko V P

出版信息

Klin Khir (1962). 1992(9-10):44-6.

PMID:1291780
Abstract

On the basis of the analysis of the results of surgical treatment of 478 patients with complicated cholecystitis, it was established that the Robson-Vishnevsky method (95 cases) was the optimal one for drainage of the bile ducts after diagnostic (19) or therapeutic (115) choledochotomy, and that of Halsted-Pikovsky (9)--in manipulations through the cystic duct. Drainage of the subhepatic space by means of a rubber tube drain is effective. The methods for active decompression and transdrain therapeutic measures used in presence of purulent-inflammatory process in the bile ducts, or subhepatic space are presented.

摘要

在对478例复杂性胆囊炎患者的手术治疗结果进行分析的基础上,确定罗布森-维什涅夫斯基方法(95例)是诊断性(19例)或治疗性(115例)胆总管切开术后胆管引流的最佳方法,而哈尔斯特德-皮科夫斯基方法(9例)适用于经胆囊管的操作。通过橡胶管引流肝下间隙是有效的。文中介绍了在胆管或肝下间隙存在脓性炎症过程时所采用的主动减压和经引流治疗措施。

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Klin Khir (1962). 1992(9-10):44-6.
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