腹腔镜胆总管探查内置管引流术的临床研究  

Clinical study of laparoscopic common bile duct exploration with endobiliary drainage

作　　者：武书胜[1] 张瑞[1] 徐钧[1] 底卫东[1] 陈智[1] 李宏伟[1] 

机构地区：[1]山西省人民医院普外科一病区,太原030012

出　　处：《中国实用医刊》2014年第14期29-31,共3页Chinese Journal of Practical Medicine

基　　金：山西省卫生厅科技攻关项目（2011010）

摘　　要：目的：探讨内置管腹腔镜胆总管探查术的临床疗效。方法回顾性分析山西省人民医院2011年10月至2013年5月采用腹腔镜胆囊切除、胆总管探查治疗胆囊结石合并胆总管结石患者114例的临床资料，其中采用 T 管引流组61例，内置管引流组53例。比较两组手术时间、术中出血量、住院费用、住院时间、带管时间、并发症发生率。结果两组在手术时间、术中出血量、住院费用方面比较差异无统计学意义（P 〉0.05）；内置管引流组患者住院时间、带管时间要明显少于 T 管引流组，差异有统计学意义（P 〈0.05）。两组术后均无胆管残余结石及胆漏、堵管等并发症发生。结论腹腔镜胆总管内置管引流术充分发挥了微创治疗胆管结石的优越性，保持了胆道的完整性和正常的生理功能，值得推广。Objective To investigate the clinical efficacy of laparoscopic common bile duct （GBD）exploration with endobiliary drainage. Methods From October 2011 and May 2013,the clini-cal data of 114 patients with gallbladder and CBD stones underwent laparoscopic cholecystectomy and CBD exploration were retrospectively analyzed. Sixty-one patients underwent the laparoscopic cholecystec-tomy and LCBDE（T tube drainage group）,and 53 patients underwent endobiliary drainage（endobiliary drainage group）. The operation time,blood loss,hospitalization costs,hospital stay time,the time of tube extraction and complication rate were compared between the two groups. Results The operation time,blood loss,and hospitalization costs in the two groups had no significant difference（P 〉 0. 05）. The hospital stay time and the time of tube extraction of endobiliary drainage group was shorter than that in group T tube drainage（P 〈 0. 05）. There were no complications of retained stones,bile leak or biliary stricture. Conclusions Laparoscopic endobiliary catheter drainage is a minimally invasive treatment for bile duct stones,and can keep the integrity of the biliary tract and normal physiological function,so is worthy of promotion.

关 键 词：胆总管结石 腹腔镜胆囊切除术 胆总管探查术 胆道内引流 

分 类 号：R657.4[医药卫生—外科学]