胆总管切开探查术后胆管一期缝合与T管引流治疗结果对比分析  

Clinical study of the effect of primary closure compared with T-tube drainage following choledochotomy for biliary lithiasis

作　　者：杨永良[1] 李盛[1] 崔玉宝[1] 

机构地区：[1]天津市第一医院,300000

出　　处：《中国实用医药》2013年第11期38-39,共2页China Practical Medicine

摘　　要：目的探讨胆总管切开探查术后胆管一期缝合的安全性及临床应用价值。方法 50例胆总管结石患者按照胆管探查术后处理方法分成胆管一期缝合组(22例)和T管引流组(28例),比较两组治疗结果。结果与T管引流组相比,一期缝合组在术后住院时间、术后近期并发症方面具有显著差异(P<0.05),在术中失血量、手术时间、手术死亡率方面差异无统计学意义(P>0.05)。结论胆总管探查术后胆管一期缝合不延长手术时间,不增加手术死亡率,可缩短术后住院时间,避免因放置T管引起的各种并发症,是安全可行的。Objective To investigate the security and feasibility of primary closure of the common bile duct after choledochotomy for common bile duct calculi. Methods 50 patients with the evidence of stones in the common bile duct underwent choledochotomy. Among them,22 received primary closure of the common bile duct and 28 T-tube drainage. Results The intraoperative blood lose, operation time and operative mortality are similar in two groups（P 〉 0. 05）. After surgery, the average hospital stay, and cost of hospitalized are similar in two groups （P 〈 0. 05）. Conclusion Primary closure of the common bile duct after choledochotomy is safe and effective in selected patients with common bile duct calculi.

关 键 词：胆总管切开探查术 一期缝合 T管引流 

分 类 号：R657.4[医药卫生—外科学]