CAJ | 학술논문

为探讨一种胆总管取石术后减少胆汁丢失的方法，对180例行胆总管取石术、T型管引流患者给予选择性、试验性早期夹管（夹管组），并与120例不行夹管者（对照组）进行比较。结果显示，夹管组术后血液中电解质变化、每日胆汁丢失量、每日输液量等方面与对照组比较差异有显著性（P＜0.01），夹管组肠功能恢复早，平均住院天数短。认为胆总管取石术后早期行T型管夹管，能减少胆汁丢失，患者下床活动早，手术愈合快。
위탐토일충담총관취석술후감소담즙주실적방법，대180례행담총관취석술、T형관인류환자급여선택성、시험성조기협관（협관조），병여120례불행협관자（대조조）진행비교。결과현시，협관조술후혈액중전해질변화、매일담즙주실량、매일수액량등방면여대조조비교차이유현저성（P＜0.01），협관조장공능회복조，평균주원천수단。인위담총관취석술후조기행T형관협관，능감소담즙주실，환자하상활동조，수술유합쾌。
To evaluate a method which can decrease loss of bile after commonduct jtoneremoving operation.180 patients who received common duct stone-removing T-type drainage were given selective and experimental pipe-griping to compare with those who weren’t give such pipe-griping and observed the clinical results.Results showed that the differences of the electrolyte-changing in the blood，the everyday amount of bile-losing，the everyday amount were of remarkable differance in patients who were given early pipe-griping and the control group（P＜0.01）.As for the pipe-griping group，the intestinal function recovered early and the average hospitalization days were short as well.This suggests that the early pipe-griping of the T-type pipe after common duct stoneremoving openation can reduce the loss of bile，make the patient convenient to move out of bed and favorable to the patient’s clinieal healing