CAJ | 학술논문

目的：探讨LCBDE术后行一期缝合与T管引流治疗肝外胆管结石临床疗效及安全性差异。方法随机选取2012年4月-2014年4月该院与遵义医学附：收治的肝外胆管结石患者160例，采用随机抽样方法分为A组和B组，每组80例，分别行LCBDE术后行一期缝合与T管引流治疗；比较两组患者围手术期临床指标、手术费用、结石残余率及术后并发症发生率等。结果 A组患者术后输液量、排气时间及住院时间均显著优于B组，差异有统计学意义（P<0.05）；A组患者手术费用显著多于B组，差异有统计学意义（P<0.05）；两组患者结石残余率比较差异无统计学意义（P>0.05）；A组患者术后并发症发生率显著低于A组，差异有统计学意义（P>0.05）。结论相较于T管引流，LTCBDE术后行一期缝合治疗肝外胆管结石可加快术后康复进程，降低术后并发症发生风险。
목적：탐토LCBDE술후행일기봉합여T관인류치료간외담관결석림상료효급안전성차이。방법수궤선취2012년4월-2014년4월해원여준의의학부：수치적간외담관결석환자160례，채용수궤추양방법분위A조화B조，매조80례，분별행LCBDE술후행일기봉합여T관인류치료；비교량조환자위수술기림상지표、수술비용、결석잔여솔급술후병발증발생솔등。결과 A조환자술후수액량、배기시간급주원시간균현저우우B조，차이유통계학의의（P<0.05）；A조환자수술비용현저다우B조，차이유통계학의의（P<0.05）；량조환자결석잔여솔비교차이무통계학의의（P>0.05）；A조환자술후병발증발생솔현저저우A조，차이유통계학의의（P>0.05）。결론상교우T관인류，LTCBDE술후행일기봉합치료간외담관결석가가쾌술후강복진정，강저술후병발증발생풍험。
Objective To compare the clinical effects and safety between primary suture and T tube drainage in the treatment of extrahepatic bile duct stones after LCBDE. Methods 160 patients with extrahepatic bile duct stones enrolled between April 2012 and April 2014 in our hospital were randomly divided group A with 80 patients undergoing primary suture after LCBDE, and group B with 80 patients receiving T tube drainage after LCBDE; and the perioperative clinical indexes, operation cost, residual stones rate and postoperative complication rate were compared between the two groups. Results Postoperative infusion volume, exhaust time and hospitalization time were all less in the group A than in the group B with statistically significant differences(P<0.05); the operation cost was more in the group A than in the group B with statistically significant difference(P<0.05);no statistically signifi-cant difference was observed in residual stone rate between the two groups(P﹥0.05), postoperative complication rate was lower in the group A than group B(P<0.05). Conclusion Compared with T tube drainage, primary suture in the treatment of extrahepatic bile duct stones after LCBDE can efficiently speed up recovery process and reduce the risk of postoperative complications.