| 李亚东,李旺勇,孙杰,等.可吸收单向倒刺缝线在老年腹腔镜胆总管一期缝合术 51例中的应用[J].安徽医药,2022,26(7):1364-1367. |
| 可吸收单向倒刺缝线在老年腹腔镜胆总管一期缝合术 51例中的应用 |
| Application of absorbable unidirectional barbed suture in 51 cases of laparoscopic primary suture of the common bile duct in elderly patients |
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| DOI：10.3969/j.issn.1009-6469.2022.07.021 |
| 中文关键词: 缝线 腹腔镜检查 可吸收单向倒刺缝线 胆总管结石病 老年人 术后并发症 一期缝合 |
| 英文关键词: Suture Laparoscopy Absorbable unidirectional barbed suture Choledocholithiasis Elderly Postoperative complications Primary suture |
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| 中文摘要: |
| 目的探讨可吸收单向倒刺缝线在老年腹腔镜胆总管一期缝合术中的临床应用效果。方法选取淮南市第一人民医院 2017年 6月至 2020年 5月收治的年龄 ≥60岁的 102例胆总管一期缝合术的病人资料，分为研究组和对照组各 51例。研究组均采用可吸收单向倒刺线一期缝合胆总管的老年病人资料，对照组采用普通可吸收线一期缝合胆总管的老年病人资料，比较两组术中缝合时间、术中出血量、术后首次下床时间、术后首次排气时间、术后住院时间及术后胆漏的发生率。结果两组比较，年龄、性别、胆总管直径、最大结石直径、总胆红素、合并症等一般资料均差异无统计学意义(P>0.05)。采用独立样本 t检验及 χ2检验比较，研究组术后缝合时间［(9.06±2.81)min比( 16.16±3.09)min］、术中出血量［(38.47±8.43)mL比( 46.16±6.52)mL］、术后住院时间［( 4.88±1.01)d比( 6.51±1.39)d］均少于对照组，差异有统计学意义( P<0.05)；研究组术后首次下床时间［( 2.45± |
| 英文摘要: |
| Objective To explore the clinical effect of absorbable unidirectional barbed sutures in elderly laparoscopic primary su-tures of the common bile duct.Methods The data of 102 patients with primary suture of common bile duct were admitted to HuainanFirst People's Hospital from June 2017 to May 2020, age ≥ 60 years were selected and divided into a study group and a control groupwith 51 cases in each. The patients in the study group were sutured to the common bile duct with absorbable unidirectional barbed su-tures in one stage, and the patients in the control group were sutured with ordinary absorbable sutures in one stage. The intraoperativesuture time, intraoperative blood loss, postoperative first ambulation time, postoperative first exhaust time, postoperative hospital stayand incidence of postoperative bile leakage were compared between the two groups.Results There were no significant differences inage, sex, common bile duct diameter, maximum stone diameter, total bilirubin, or comorbidities between the two groups (P > 0.05) . The independent samples t test and χ2 test showed that the postoperative suture time [(9.06±2.81) min vs. (16.16±3.09) min], intraoperative blood loss [(38.47±8.43) mL vs. (46.16±6.52) mL], and postoperative hospital stay [(4.88±1.01) d vs. (6.51±1.39) d] were less than those in the control group, and the difference was statistically significant (P < 0.05). The time of first getting out of bed after operation in the study group [(2.45±0.73) d vs. (2.75±0.65) d], the first postoperative exhaust time [(2.27±0.77) d vs. (2.65±0.77) d], and patient satisfac-tion with medical treatment [(4.37±0.77) points vs. (3.10±0.72) points] were better than those in the control group, and the difference was statistically significant (P<0.05). The incidence of postoperative bile leakage in the study group (1.9%) was significantly lower thanthat in the control group (9.8%).Conclusions Primary suture of the common bile duct with absorbable unidirectional barbed suturesunder laparoscopy can significantly shorten the suture time, reduce intraoperative bleeding, reduce common complications such as bileleakage, and promote postoperative recovery in elderly patients, which is safe and feasible. |
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