CAJ | 학술논문

　　目的研究长期携带乳胶型 T 管对肝功能 ALT 的影响。方法对2010年2月至2012年8月入院，33例胆总管结石病例部分合并胆囊结石，通过开腹胆总管探查 T 管引流，术后四周拔管，比较其术前、术后、拔管前 ALT 检测结果。结果显示术后与拔管前 ALT 比较P 值=0.0350，与年龄，性别无关，与起病缓急无关。结论长期携带乳胶型 T 管对部分患者肝功能 ALT 存在不良影响
　　목적연구장기휴대유효형 T 관대간공능 ALT 적영향。방법대2010년2월지2012년8월입원，33례담총관결석병례부분합병담낭결석，통과개복담총관탐사 T 관인류，술후사주발관，비교기술전、술후、발관전 ALT 검측결과。결과현시술후여발관전 ALT 비교P 치=0.0350，여년령，성별무관，여기병완급무관。결론장기휴대유효형 T 관대부분환자간공능 ALT 존재불량영향
Objective To explore the influence of early cholangiography for griping T-tube based on biliary tract function in patients after exploration of common bile duct. Methods 60 cases of patients with T-tube following exploration of common bile duct was randomly divided into two groups which namely early griping group and control group, 30 cases respectively. The patients of early griping group were underwent T-tube Cholangiography 7 days after the operation,and once the tube was showed to be unobstructed,it would be griped. The control group received common method that T-tubes were griped according to result of cholangiography 2 weeks after the operation. Comparisons of serum density of direct bilirubin (DBIL) and alkaline phosphatase(ALP)between the two groups after operation 1,7 and 14 days. Results After operation 1,7 and 14 days,serum density of DBIL and ALP in the early griping group were showed no statistical signifi cance comparing to the control group(P>0.05). Conclusion Early cholangiography for griping T-tube have no harmful effects on the function of biliary tract.