双“T”型管引流治疗肝包虫破入胆总管  

Double ＂T＂ tube drainage in hepatic echinococcosis which ruptured into the common bile duct

作　　者：蒋铁民[1] 杨登[1] 冉博[1] 郭强[1] 邵英梅[1] 吐尔千艾力·阿吉 

机构地区：[1]新疆医科大学第一附属医院肝胆包虫外科,830054

出　　处：《中华肝胆外科杂志》2017年第8期539-541,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨双“T”型管引流治疗肝包虫破入胆总管的疗效。方法回顾性分析新疆医科大学第一附属医院2012年6月至2014年12月手术治疗的86例肝囊型包虫病破入胆总管患者临床资料。对双“T”型管引流（A组，n=28）与传统胆总管探查“T”管减压（B组，n=58）两组患者术后平均住院时间、术后残腔并发症（胆漏、残腔积液、残腔感染）情况进行分析比较。结果A组术后残腔并发症发生率（7．1％，2例）、术后平均住院时间[（7．1±1．3）d]低于B组术后残腔并发症（15．5％，9例）、术后平均住院时间[（8．2±1．5）d]，两组差异具有统计学意义（均P〈0．05）。结论双“T”型管引流治疗肝包虫破入胆总管具有操作简单、安全有效的特点，可彻底解决术后的残腔胆漏，并可避免传统缝合胆瘘口的相关并发症。Objective To investigate the double ＂T＂ tube drainage method in the treatment of he- patic echinococcosis which ruptured into the common bile duct. Methods A retrospective study was con- ducted on 86 patients who were treated surgically for hepatic echinococcosis which had ruptured into the com- mon bile duct at the First Affiliated Hospital of Xinjiang Medical University from June 2012 to December 2014. The average postoperative hospitalization, postoperative complications （residual cavity bile leakage and residual cavity effusion, residual cavity infection） and biliary complications of biliary tract infection were analyzed. Results Significant differences were found on the postoperative residual cavity complications in group A： （2, 7.1% ） when compared with Group B： （9, 15.5% ）, and also on the postoperative hospitalization between the double ＂T＂ tube drainage group [ group A ： （ 7.1± 1.3 ） d I and the traditional T type tube decompression group [ B group ： （ 8.2 ± 1.5 ） d ] （ P 〈 0.05 ）. Conclusions The double ＂ T＂ tube drainage in the treatment of hepatic eehinococeosis which had ruptured into the common bile duct was sim- ple, safe and effective. This treatment could completely cure residual cavity bile leakage, and it had the advantage of avoiding occurrence of common bile duct related complications caused by the traditional suture method for bile leakage.

关 键 词：肝包虫病 双“T”管引流 并发症 胆道探查 

分 类 号：R657.3[医药卫生—外科学]