预置鼻胆管引流胆总管切开取石一期缝合胆总管对胆总管结石的治疗价值  

Curative value by preset endoscopic nasobiliary drainage common bile duct exploration primary suture for choledocholithiasis

作　　者：刘洪波 

机构地区：[1]河南省洛阳市第一人民医院肝胆外科,471000

出　　处：《中国现代药物应用》2016年第20期21-22,共2页Chinese Journal of Modern Drug Application

摘　　要：目的分析预置鼻胆管引流胆总管切开取石一期缝合胆总管对胆总管结石的治疗价值。方法 80例胆总管结石患者,随机分为对照组与观察组,各40例。对照组患者采用T管引流术治疗,观察组患者采用预置鼻胆管引流胆总管切开取石一期缝合治疗。比较两组患者的治疗效果。结果经过手术治疗后,观察组患者并发症发生率7.50%、住院时间(15.12±1.23)d、治疗费用(9845.22±126.34)元、胆汁引流量(2302.16±327.14)ml显著优于对照组患者,差异均具有统计学意义(P<0.05)。结论预置鼻胆管引流胆总管切开取石一期缝合胆总管对胆总管结石具有良好的治疗效果。Objective To analyze curative value by preset endoscopic nasobiliary drainage common bile duct exploration primary suture for choledocholithiasis. Methods A total of 80 choledocholithiasis patients were randomly divided into control group and observation group, with 40 cases in each group. The control group received T tube drainage, and the observation group received preset endoscopic nasobiliary drainage common bile duct exploration primary suture. Curative effects were compared between the two groups. Results After operation, the observation group had all much better incidence of complications as 7.50%, hospital stay time as（15.12±1.23） d, treatment cost as（9845.22±126.34） yuan, and biliary drainage volume as（2302.16±327.14） ml than the control group. Their differences all had statistical significance（P〈0.05）. Conclusion Implement of preset endoscopic nasobiliary drainage common bile duct exploration primary suture provides remarkable effect for treating choledocholithiasis.

关 键 词：胆总管结石 鼻胆管引流 一期缝合 T管引流术 治疗价值 

分 类 号：R657.42[医药卫生—外科学]