腹腔镜胆总管切开取石及置管内引流术后肝功能指标的改变  

Postoperative changes of liver function in the patients with internal-tube drainage of laparoscopic choledocholithotomy(LCH)

作　　者：熊沛[1] 叶建宇[1] 周晓初[1] 彭毅[1] 周汉新[1] 

机构地区：[1]北京大学深圳医院腔镜外科中心,深圳518036

出　　处：《中国基层医药》2002年第11期995-996,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　评估腹腔镜胆总管切开取石及置管内引流术的胆汁引流效果。方法　比较接受该术式病人 (n =11)术前及术后肝功能指标的改变 ,并与同期行腹腔镜胆总管切开取石及“T”管引流术的病人 (n =14 )进行了对比研究。结果　两组病人术后第 3天所有异常的肝功能指标均有明显改善 ,而反映胆汁瘀积的指标GGT、ALP、TB、DB尤为明显 ;术后第 10天所有肝功能指标均恢复或接近正常 ;除个别指标外两组间术前、术后肝功能指标的比较差异无显著意义。结论　新的术式胆汁引流效果良好 ,与传统“T”管引流术相当 ,并能有效改善因胆道梗阻导致的肝功能损害。Objective To evaluate the effect of inter tube drainage after LCH on bile drainage.Methods Preoperative and postoperative results of liver function were compared in the 11 patients with internal tube drainage of LCH and were compared with those of 14 patients with T tube drainage after LCH in the same time.Results All abnormal indexes of liver function were apparently improved in 3 days post operation in two groups while the indexes(GGT,ALP,TB,DB) related to cholestasis were more prominent.Indexes of all liver function were near to normality in 10 days post operation.The differences of preoperative and postoperative results of liver function between two groups were not prominent except individual index.Conclusion The new method on bile drainage is very efficient,which can improve abnormality of liver function caused by obstruction of bile duct.

关 键 词：胆总管切开取石 腹腔镜 胆总管结石 肝功能 “T”管引流术 手术方式 

分 类 号：R657.4[医药卫生—外科学]