[1]高旭升,柳 杰,徐 峰,等.腹腔镜联合胆道镜胆总管探查取石术后胆管一期缝合与T管引流的疗效比较[J].医学信息,2019,32(24):94-96.[doi:10.3969/j.issn.1006-1959.2019.24.031]
　GAO Xu-sheng,LIU Jie,XU Feng,et al.Comparison of Curative Effects of Primary Bile Duct Suture and T-tube Drainage after Laparoscopy and Choledochoscopy[J].Medical Information,2019,32(24):94-96.[doi:10.3969/j.issn.1006-1959.2019.24.031]
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腹腔镜联合胆道镜胆总管探查取石术后胆管一期缝合与T管引流的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年24期
页码:
94-96
栏目:
临床研究
出版日期:
2019-12-15

文章信息/Info

Title:
Comparison of Curative Effects of Primary Bile Duct Suture and T-tube Drainage after Laparoscopy and Choledochoscopy
文章编号:
1006-1959（2019）24-0094-03
作者:
高旭升; 柳 杰; 徐 峰; 迟品伟
（昌吉州人民医院普外一科，新疆 昌吉 831100）
Author(s):
GAO Xu-sheng; LIU Jie; XU Feng; CHI Pin-wei
(Department of General Surgery,Subject One,Changji Hui Atonomous Prefecture People’s Hospital,Changji 831100, Xinjiang,China)
关键词:
胆总管结石; 胆管一期缝合; T管引流
Keywords:
Choledocholithiasis; Primary bile duct suture; T-tube drainage
分类号:
R657.4
DOI:
10.3969/j.issn.1006-1959.2019.24.031
文献标志码:
A
摘要:
目的 比较腹腔镜联合胆道镜胆总管探查取石术（LCBDE）后胆管一期缝合（PC）与T管引流（TD）的疗效。方法 回顾性分析2015年1月~2019年1月我院62例行LCBDE患者的临床资料，根据手术方式不同分为PC组30例，TD组32例，比较两组手术情况（术后通气时间、住院时间、手术时间、胆红素恢复时间）及并发症发生情况。结果 PC组术后通气时间、住院时间、手术时间优于TD组[（2.67±0.71）d vs（3.13±0.66）d]、[（5.93±0.74）d vs（9.34±0.86）d]、[（108.27±17.78）min vs（131.31±14.51）min]，差异有统计学意义（P＜0.05）；两组胆红素恢复时间比较，差异无统计学意义（P＞0.05）。PC组并发症总发生率为3.33%，低于TD组的12.50%，差异有统计学意义（P＜0.05）。结论 LCBDE后胆管PC可有效缩短手术时间短、加快患者术后通气时间及恢复时间，不增加并发症发生率，其疗效优于TD。
Abstract:
Objective To compare the efficacy of primary bile duct suture (PC) and T-tube drainage (TD) after laparoscopy combined with choledocholithotomy (LCBDE). Methods The clinical data of 62 patients with LCBDE in our hospital from January 2015 to January 2019 were retrospectively analyzed. According to the different surgical methods, they were divided into 30 cases in the PC group and 32 cases in the TD group. The surgical conditions (postoperative ventilation time) were compared between the two groups. , Length of hospital stay, time of surgery, time to bilirubin recovery) and complications. Results Postoperative ventilation time, hospital stay, and operation time in the PC group were better than those in the TD group [(2.67±0.71) d vs (3.13±0.66) d], [(5.93±0.74) d vs (9.34±0.86) d], [( 108.27±17.78) min vs (131.31±14.51) min], the difference was statistically significant (P<0.05); the comparison of bilirubin recovery time between the two groups was not statistically significant (P>0.05). The total incidence of complications in the PC group was 3.33%, which was lower than 12.50% in the TD group,the difference was statistically significant (P<0.05). Conclusion Biliary duct PC after LCBDE can effectively shorten the short operation time, accelerate the postoperative ventilation time and recovery time of patients, without increasing the incidence of complications, and its efficacy is better than TD.

参考文献/References:

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更新日期/Last Update: 2019-12-15