改良缝合技术在胆总管探查一期缝合中的应用  

Clinical application of primary bile duct closure improvement after choledochotomy

作　　者：朱斌[1] 邵伟斌[1] 严栋梁[1] 施海燕[1] 

机构地区：[1]南通市第一人民医院肝胆外科,江苏省南通226001

出　　处：《中国基层医药》2010年第19期2649-2650,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨胆总管探查一期缝合改良缝合技术的临床应用价值.方法 45例胆总管结石患者作胆总管探查一期缝合,用4个＂0＂慢微乔线对胆道切开处作连续一期缝合,局部加用生物蛋白胶.结果 45例患者无1例发生胆漏,住院费用平均下降10.5%.结论 胆总管探查一期缝合改良缝合技术有利与减少并发症.Objective To determine the value and reasonable application of slowly coated vicryl plus and albumin gel in primary suture after common BD exploration. Methods The operation was successfully performed in all 45 patients. The incision of common bile duct was directly sewed up by slowly coated vicryl plus and spurted by albumin gel after the exploration. Results There were no complications such as bile leakage and bile duct stricture etc.The mean payment of hospitalization was low 10.5%. Conclusion This method was safe,feasible and effective.

关 键 词：胆总管探查术 胆道外科手术 缝合 生物蛋白胶 

分 类 号：R657[医药卫生—外科学]