国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2009年
2期
81-83
,共3页
胆总管切开%一期缝合%T管引流%胆总管探查
膽總管切開%一期縫閤%T管引流%膽總管探查
담총관절개%일기봉합%T관인류%담총관탐사
exploration of the common bile duct%primary suture%T-tube drainage%choledochotomy
目的 探讨胆总管切开探查一期缝合不置T管引流的可行性、手术指征及临床价值.方法 按适应证选择胆总管结石或可疑结石104例,随机分为一期缝合组及T管引流组,一期缝合组探查术后不置T管引流,用5-0无损伤可吸收缝线作一期缝合.观察并比较两组患者术后用药情况、恢复情况、术后并发症、住院时间及费用情况,并进行随访.结果 一期缝合组术后抗生素使用时间、平均输液量、输液时间、肠功能恢复时间、下床活动时间、平均住院时间及住院费用均较T管引流组减少(P均<0.05);随访6个月～3年,无有胆管狭窄的临床征象,术后并发症发生率与T管引流组的差别无统计学意义(P>0.05).结论 只要正确掌握手术适应证及缝合技巧,胆总管探查后一期缝合是安全可行的,有推广应用价值.
目的 探討膽總管切開探查一期縫閤不置T管引流的可行性、手術指徵及臨床價值.方法 按適應證選擇膽總管結石或可疑結石104例,隨機分為一期縫閤組及T管引流組,一期縫閤組探查術後不置T管引流,用5-0無損傷可吸收縫線作一期縫閤.觀察併比較兩組患者術後用藥情況、恢複情況、術後併髮癥、住院時間及費用情況,併進行隨訪.結果 一期縫閤組術後抗生素使用時間、平均輸液量、輸液時間、腸功能恢複時間、下床活動時間、平均住院時間及住院費用均較T管引流組減少(P均<0.05);隨訪6箇月～3年,無有膽管狹窄的臨床徵象,術後併髮癥髮生率與T管引流組的差彆無統計學意義(P>0.05).結論 隻要正確掌握手術適應證及縫閤技巧,膽總管探查後一期縫閤是安全可行的,有推廣應用價值.
목적 탐토담총관절개탐사일기봉합불치T관인류적가행성、수술지정급림상개치.방법 안괄응증선택담총관결석혹가의결석104례,수궤분위일기봉합조급T관인류조,일기봉합조탐사술후불치T관인류,용5-0무손상가흡수봉선작일기봉합.관찰병비교량조환자술후용약정황、회복정황、술후병발증、주원시간급비용정황,병진행수방.결과 일기봉합조술후항생소사용시간、평균수액량、수액시간、장공능회복시간、하상활동시간、평균주원시간급주원비용균교T관인류조감소(P균<0.05);수방6개월～3년,무유담관협착적림상정상,술후병발증발생솔여T관인류조적차별무통계학의의(P>0.05).결론 지요정학장악수술괄응증급봉합기교,담총관탐사후일기봉합시안전가행적,유추엄응용개치.
Objective To study the feasibility, indications and clinical value of primary suture after the common bile duet exploration(CBDE).Methods One hundred and fimr cases of choledocholithiasis were chosen for primary suture by 5-Oviger after CBDE. Post-operative complications and the length of hospital stay were compared with those with T-tube drainage. Results Compared with T-tube drainage group, the complication rate was reduced and the length of hospital stay in primary suture group was shortened. And also the mortality and operation time were decreased significantly. Conclusion The primary suture after CBDE in selected oases is safe and reliable.
