预置缝线的间断缝合法改进腹腔镜下T管缝合的效果  

The preset suture interrupted suturing method improves the effect of laparoscopic T-tube suture

作　　者：王成 何晓军 戴竞耀 肖梅 张辉 蒲猛 赵刚 孔亚林 刘承利 WANG Cheng;HE Xiaojun;DAI Jingyao;Xiao Mei;Zhang Hui;PU Meng;ZHAO Gang;KONG Yalin;LIU Chengli(Department of Hepatobiliary Surgery,Air Force Medical Center,Beijing 100142,China)

机构地区：[1]空军特色医学中心肝胆外科,北京100142

出　　处：《肝胆胰外科杂志》2024年第6期360-363,共4页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的比较腹腔镜下T管缝合时预置缝线法与传统缝合方法的效果差异。方法回顾性分析2020年6月至2023年9月间空军特色医学中心行腹腔镜T管缝合的患者的临床资料,对照组采用传统的T管缝合方法,研究组采用预置缝线的T管缝合方法:间断缝合,进针和出针时前一针的缝线不打紧,每组24例。比较两组患者T管缝合时间和注水试验阳性率。结果研究组术中T管缝合时间少于对照组[(12.61±0.88)min vs(17.62±0.58)min,t=-23.34,P<0.001],注水试验阳性率低于对照组[0 vs 25%(6/24),P=0.029],差异均有统计学意义。结论应用预置缝线的间断缝合法可提高腹腔镜下T管缝合速度,使缝合更确切,较传统方法有明显优势。Objective To compare the effect of preset suture method and traditional suture method during laparoscopic T tube suture.Methods The clinical data of patients who underwent laparoscopic T-tube suture in the Air Force Medical Center from Jun.2020 to Sep.2023 were retrospectively analyzed.Patients in the control group(n=24)recieved the traditional T-tube suture method,and patients in the study group(n=24)recieved the T-tube suture method with preset sutures:intermittent suture,and the sutures of the previous needle were not tightened when the needle was inserted and discharged.The time of T-tube suture and the positive rate of water injection test were compared between the two groups.Results The intraoperative suture time of T tube in the study group was lower than that in the control group[(12.61±0.88)min vs(17.62±0.58)min,t=-23.34,P<0.001]and the positive rate of water injection test in the study group was lower than that in the control group[0 vs 25%(6/24),P=0.029],the differences were statistically significant.Conclusion The improved interrupted suture method using preset sutures can improve the laparoscopic suture speed and make the suture more accurate,which has obvious advantages over the traditional method.

关 键 词：腹腔镜 T管缝合 间断缝合 预置缝线 缝合时间 注水试验 

分 类 号：R445.2[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]