| 李菠,吕明,陈汉宗.腹腔镜胆总管探查取石 Ⅰ期缝合与 T管引流的疗效比较[J].安徽医药,2021,25(5):935-937. |
| 腹腔镜胆总管探查取石 Ⅰ期缝合与 T管引流的疗效比较 |
| Comparison of the effects between stage I suture and T tube drainage after laparoscopic common bile duct exploration |
| |
| DOI：10.3969/j.issn.1009-6469.2021.05.022 |
| 中文关键词: 胆总管结石病 腹腔镜检查 Ⅰ期缝合 T管引流 临床效果 |
| 英文关键词: Choledocholithiasis Laparoscopy Stage I suture T tube drainage Clinical effect |
| 基金项目: |
|
| 摘要点击次数: 1295 |
| 全文下载次数: 427 |
| 中文摘要: |
| 目的观察腹腔镜胆总管探查 Ⅰ期缝合与 T管引流的临床效果。方法选取 2017年 1月至 2018年 1月中南大学湘雅医学院附属海口医院收治的择期行腹腔镜胆总管探查术取石的胆总管结石病人 68例，按照随机数字表法将其分为观察组( 34例)和对照组( 34例)，观察组给予腹腔镜胆总管探查后 Ⅰ期缝合术治疗，对照组给予腹腔镜胆总管探查后 T管引流术治疗，比较两组手术情况、术后恢复情况及并发症发生情况，经术后 6个月随访后，评价胆总管狭窄情况。结果观察组术后胃肠道功能恢复时间［(2.27±0.96)d］、下床活动时间［(4.33±1.24)d］及住院时间［(6.25±2.14)d］均明显短于对照组［(2.85±1.04)d、(6.49±2.02)d、(8.38±3.19)d］(P<0.05)；观察组与对照组手术时间［( 74.24±6.63)min比(77.19±7.58)min］、术后 1d引流量［( 36.97± |
| 英文摘要: |
| Objective To investigate the clinical effects of stage I suture and T tube drainage after laparoscopic common bile duct exploration.Methods A total of 68 patients with common bile duct stones who underwent laparoscopic common bile duct explorationat Haikou Hospital Affiliated to Xiangya Medical College，Central South University from January 2017 to January 2018 were enrolled. According to the random number table method，they were assigned into study group(34 cases)and control group(34 cases). The study group was treated with laparoscopic common bile duct exploration before stage I suture. The control group was treated with T-tube drainage after laparoscopic common bile duct exploration. Comparison was made in the surgical conditions，postoperative recovery and complications between the two groups. After six months of follow-up，the stenosis of the common bile duct was evaluated.Results The recovery time of gastrointestinal function［( 2.27±0.96)d］， the time of getting out of bed［( 4.33±1.24)d］and the hospitalization time［( 6.25±2.14)d］were significantly shorter in the study group than in the control group［( 2.85±1.04)d，(6.49±2.02)d，(8.38±3.19)d］(P<0.05).There was no significant difference between the two groups in operation time［( 74.24±6.63)min vs.(77.19±7.58)min］，1 day postoperative drainage［( 36.97±11.24)mL vs.(41.35±13.07)mL］and extubation time［( 5.68±1.73)d vs.(6.47±1.96)d］(P>0.05). The incidences of postoperative complications showed no statistically significant difference between the two groups(5.88% vs. 20.59%，P>0.05).The results of cholangiography after 6 months of follow-up showed that no bile duct stricture occurred in either group. Conclusion The clinical effect of stage I suture after laparoscopic common bile duct exploration for the treatment of common bile duct stones is more significant，which is more conducive to early rehabilitation of patients and has higher clinical safety. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
