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 Ttube. Methods : The clinical data of 12 patients with biliary fistula after removal of Ttube 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 Ttube. Improvement of surgercial technique and the proper prolongation for the time of removal of Ttube 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.