腹腔镜胆总管切开取石及置管内引流术后内置引流管排出时间对疗效的影响  

Influence of the Internal-tube Discharge Time on Therapeutic Effects in the Patients with Internal-tube Drainage of Laparoscopic Choledocholithotomy

作　　者：熊沛[1] 周晓初[1] 尹耀新[1] 彭毅[1] 叶建宇[1] 钟立明[1] 张风涛[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《实用医技杂志》2007年第25期3409-3411,共3页Journal of Practical Medical Techniques

摘　　要：目的:探讨腹腔镜胆总管切开取石及置管内引流术后内置引流管排出时间对疗效的影响。方法:对126例腹腔镜胆总管切开取石及置管内引流术后内置管排出的时间进行观察并分析了术前、术后3 d、术后10 d、术后30 d的肝功能指标改变。结果:胆总管内王引流管术后1 d～3 d排出者8例(6.3%),4 d～10 d排出者85例(67.5%),11 d～29 d排出者30例(23.8%),30 d以上排出者3例(2.4%),平均排出时间为(8.9±1.8)d;术后第10 d各组的肝功能指标均恢复或接近正常。结论:胆总管内置引流管的排出时间对疗效无明显影响,腹腔镜胆总管切开取石及置管内引流术是一种安全有效的术式。Objective To evaluate whether the internal-tube discharge time have influence on therapeutic effects in the patients with internal-tube drainage of laparoscopic choledocholithotomy （LCH）. Methods The internal-tube discharge time were investigated and results of liver function were compared accordingly in 126 patients with internal-tube drainage of LCH. Resuits The internal-tube were discharged from 1 to 3 postoperative days in 8 patients, from 4 to 10 postoperative days in 85 patients, from 11 to 29 postoperative days in 30 patients and up to 30 postoperative days in 3 patients, the average discharge time is 8.9 ± 1.8 postoperative days. Indexes of all liver function were near to normality in 10nd postoperative day. Conclusion The internal-tube discharge time have no influence on therapeutic effects in the patients with internal-tube drainage of LCH. LCH with internal-tube drainage is safe and effective.

关 键 词：腹腔镜外科 胆总管结石 胆道引流 

分 类 号：R657.4[医药卫生—外科学]