T管早期造影后夹管对胆总管探查术后患者胆道功能的影响  

作　　者：黄婉芸[1] 张瑞广[1] 黄翠媚[1] 

机构地区：[1]茂名市人民医院普外一科

出　　处：《当代医学》2011年第18期18-19,共2页Contemporary Medicine

摘　　要：目的探讨早期造影后夹闭T型管对胆道功能的影响。方法将择期行胆总管探查的60例病人随机分为对照组和实验组,各30例,对照组采取常规方法夹闭T管,实验组术后第7天经T管造影明确无梗阻后早期夹闭T管。比较两组病人术后第1、7、14天血清直接胆红素(DBIL)及碱性磷酸酶(ALP)变化。结果实验组术后第1、7、14天实验组血清DBIL、ALP水平与对照组比较无统计学意义(P>0.05)。结论胆总管探查术后早期造影夹闭T管不影响胆道的排泄功能。Objective To explore the influence of early cholangiography for griping T-tube based on biliary tract function in patients after exploration of common bile duct.Methods 60 cases of patients with T-tube following exploration of common bile duct was randomly divided into two groups which namely early griping group and control group,30 cases respectively.The patients of early griping group were underwent T-tube Cholangiography 7 days after the operation,and once the tube was showed to be unobstructed,it would be griped.The control group received common method that T-tubes were griped according to result of cholangiography 2 weeks after the operation.Comparisons of serum density of direct bilirubin（DBIL） and alkaline phosphatase（ALP）between the two groups after operation 1,7 and 14 days.Results After operation 1,7 and 14 days,serum density of DBIL and ALP in the early griping group were showed no statistical significance comparing to the control group（P〉0.05）.Conclusion Early cholangiography for griping T-tube have no harmful effects on the function of biliary tract.

关 键 词：腹腔镜 胆囊切除术 手术配合 护理 

分 类 号：R657.4[医药卫生—外科学]