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作 者:李涛[1] 高平[1] 张雄[1] 李胜[1] 杨刚 张鑫[1] 郝琪伟[1] 乔培宇 LI Tao;GAO Ping;ZHANG Xiong(Department of General Surgery,Yulin Second Hospital,Shaanxi Province,Yulin 719000)
机构地区:[1]陕西省榆林市第二医院普通外科二病区,榆林719000
出 处:《陕西医学杂志》2020年第9期1142-1144,1148,共4页Shaanxi Medical Journal
摘 要:目的:探讨胆道探查术中行双管探查(胆囊管、胆总管)的临床意义。方法:收集胆囊多发小结石伴肝外胆管结石病例450例,根据不同手术方式分为A组(220例)和B组(230例)。A组行胆囊切除+胆总管切开取石术,B组行胆囊切除+胆总管切开取石+胆囊管探查术。对比两组术中及术后情况。结果:与A组相比,B组术中明确胆囊管结石例数较多,术后结石复发或残留例数较少,差异均具有统计学意义(均P<0.05)。结论:对于胆囊多发小结石合并肝外胆管结石,常规行双管探查可有效避免胆道术后继发结石或残留结石。Objective:To explore the clinical significance of double-tube exploration(cholecystoduct and common bile duct)in biliary exploration.Methods:450 cases of multiple small gallbladder stones with extrahepatic bile duct stones were collected and divided into group A(220 cases)and group B(230 cases)according to different surgical methods.Group A underwent cholecystectomy+common bile duct incision and stone removal,and group B underwent cholecystectomy+common bile duct incision and stone removal+cystic duct exploration.The intraoperative and postoperative conditions of the two groups were compared.Results:Compared with group A,there were more cases of clear cystic duct stones during operation,and fewer cases of recurrence or residual stones in group B after operation.The differences were statistically significant(all P<0.05).Conclusion:For those with multiple small gallstones combined with extrahepatic bile duct stones,double-tube exploration can effectively avoid secondary stones or residual stones after operation.
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