Objective: To investigate the cause, prevention and treatment of bile leakage. Methods: The clinical data of 20 cases with bile leakage were reviewed retrospectively. Results: Of the 16 cases treated with nonoperative therapy, 4 patients were operated, none died. The cure rate of nonopertion was 80％. Conclusion: Bile leakage often occurs in cholecystectomy procedure and after extraction of a T tube, which is mainly related to abnormality of extrahepatic biliary tract anatomy, inflammation, adhesion and incorrect manipulation. To prevent include preoperative preparation, operative management and postoperative treatment, different treatments are optional according to the degree of leakage and the condition of patients.%目的:探讨胆道术后胆漏的原因及其预防措施和治疗方法.方法:对20例胆漏患者的临床资料作回顾性分析.结果:16例非手术,4例手术治疗,无一例死亡,非手术治愈率为80%.结论:胆漏多发生于胆囊切除术及T管拔出后,主要与肝外胆道的解剖变异、炎症、粘连等病理改变和操作不仔细有关,预防应从首次术前、术中、术后三个环节着手,依据胆漏量多少、病情轻重选择非手术和手术方法治疗.
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