[1]周 玲.双镜联合胆总管探查取石术后胆总管一期缝合与T管引流的效果比较[J].医学信息,2021,34(18):135-137.[doi:10.3969/j.issn.1006-1959.2021.18.036]
 ZHOU Ling.Comparison of the Effects of Primary Suture of the Common Bile Duct and T Tube DrainageAfter Double Mirror Combined with Common Bile Duct Exploration and Stone Removal[J].Medical Information,2021,34(18):135-137.[doi:10.3969/j.issn.1006-1959.2021.18.036]
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双镜联合胆总管探查取石术后胆总管一期缝合与T管引流的效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年18期
页码:
135-137
栏目:
临床研究
出版日期:
2021-09-18

文章信息/Info

Title:
Comparison of the Effects of Primary Suture of the Common Bile Duct and T Tube DrainageAfter Double Mirror Combined with Common Bile Duct Exploration and Stone Removal
文章编号:
1006-1959(2021)18-0135-03
作者:
周 玲
阜宁县人民医院外一科,江苏 阜宁 224400
Author(s):
ZHOU Ling
The First Department of Surgery,Funing People’s Hospital,Funing 224400,Jiangsu,China
关键词:
腹腔镜胆道镜胆总管探查取石术T管引流一期缝合
Keywords:
LaparoscopyCholedochoscopyCommon bile duct exploration and lithotripsyT tube drainagePrimary suture
分类号:
R615;R657.4+2
DOI:
10.3969/j.issn.1006-1959.2021.18.036
文献标志码:
A
摘要:
目的 比较双镜联合胆总管探查取石术后胆总管一期缝合与T管引流疗效。方法 选取2019年6月-2020年6月在我院进行双镜联合胆总管探查取石术的患者,共94例。采用随机数字表法分为观察组和对照组,每组47例。对照组的患者术后进行T管引流,观察组术后进行胆总管一期缝合,比较两组手术指标、并发症发生情况、术后残石率以及治疗满意度。结果 观察组手术时间、术中出血量、胃肠功能恢复时间、腹腔及T管引流管留置时间均少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.38%,低于对照组的14.89%,差异有统计学意义(P<0.05);观察组术后残石率为8.51%,与对照组的10.63%比较,差异无统计学意义(P>0.05);观察组满意度为97.87%,高于对照组的87.23%,差异有统计学意义(P<0.05)。结论 胆总管一期缝合与双镜联合胆总管探查取石术后T管引流比较,安全有效,可缩短手术时间,加快术后恢复,且可避免T管引流引起的并发症,充分体现微创理念的优势。
Abstract:
Objective To compare the efficacy of primary suture of the common bile duct and T tube drainage after double mirror combined with common bile duct exploration and stone removal.Methods A total of 94 patients who underwent double mirror combined common bile duct exploration and lithotripsy in our hospital from June 2019 to June 2020 were selected.Using random number table method, they were divided into observation group and control group, with 47 cases in each group.Patients in the control group received T-tube drainage after surgery, and the observation group received primary suture of the common bile duct after surgery.The surgical indicators, complications, postoperative residual stone rate and treatment satisfaction were compared between the two groups.Results The operation time, intraoperative blood loss, gastrointestinal function recovery time, abdominal cavity and T-tube drainage tube indwelling time in the observation group were less than those in the control group,the difference was statistically significant(P<0.05);The incidence of complications in the observation group was 6.38%, which was lower than 14.89% in the control group,the difference was statistically significant(P<0.05);The postoperative residual stone rate in the observation group was 8.51%, compared with 10.63% in the control group, the difference was not statistically significant (P>0.05);The satisfaction degree of the observation group was 97.87%, which was higher than 87.23% of the control group,the difference was statistically significant(P<0.05).Conclusion The primary suture of the common bile duct is safe and effective compared with T tube drainage after double mirror combined with common bile duct exploration and stone removal.It can shorten the operation time, speed up postoperative recovery, and avoid complications caused by T tube drainage, fully embodying the advantages of the minimally invasive concept.

参考文献/References:

[1]谢光军,杨明,郭云虎,等.腹腔镜胆总管探查取石后胆管一期缝合与T管引流疗效比较[J].肝胆胰外科杂志,2016,28(5):415-418.[2]李昆仑,陈昕,李博,等.103例胆道镜辅助下胆总管探查术后一期缝合的临床探讨[J].中国医学创新,2015,12(10):138-140.[3]李华林,陈安平,胡铤,等.经胆囊管入路同期三镜治疗细径胆总管结石的临床应用[J].肝胆胰外科杂志,2015,27(5):358-360.[4]廖南生,林峰,幸栋佚,等.鼻胆管引流在腹腔镜胆总管切开一期缝合中的临床应用[J].中国内镜杂志,2016,22(1):28-31.[5]翁汉钦,蒋基令,孙宏武,等.腹腔镜下胆管测压胆总管一期缝合的可行性研究[J].中华普通外科杂志,2015,30(10):819-820.[6]潘勐,陈晓鹏,鲍胜华,等.腹腔镜胆总管探查术后两种术式治疗胆总管结石的探讨[J].皖南医学院学报,2015,34(6):548-550.[7]陈星,彭畔新,何宇辉,等.SHA.LIN、S.T.O.N.E.评分系统与腔道泌尿外科协会临床研究办公室列线图对预测经皮肾镜取石术后结石清除率及围手术期情况的对比[J].中国医学科学院学报,2019,41(4):492-500.[8]谷越,翟博,方泰石,等.腹腔镜联合胆道镜治疗胆总管结石行胆管一期缝合的可行性研究[J].现代生物医学进展,2017(28):126-129.[9]Hua J,Meng H,Yao L,et al.Five hundred consecutive laparoscopic common bile duct explorations:5-year experi ence at a single institution[J].Surg Endosc,2017,31(9):3581-3589.[10]莫伟锋,钟志辉,陈旭生,等.腹腔镜胆总管探查术后一期缝合与T管留置效果比较[J].河南医学研究,2016,25(3):452-453.[11]甄杰生,袁超杰,蔡世少.腹腔镜胆总管切开取石后一期缝合治疗胆总管结石疗效观察[J].中国现代医生,2015,53(8):40-42.[12]刘刚,孔胜兵,詹志林,等.双镜联合胆总管切开探查后胆总管一期缝合与T管引流的对比研究[J].肝胆外科杂志,2018,26(6):52-55.[13]王海刚,黎辉,柯利,等.LCBDE并一期缝合治疗胆总管结石的临床研究[J].西北国防医学杂志,2017(3):45-48.[14]李红军,赵静,段仁全,等.腹腔镜胆总管探查术后胆总管一期缝合与T管引流的疗效观察[J].中国普外基础与临床杂志,2016,11(7):873-875.[15]苏树炎.J型管胆总管内引流一期缝合胆总管切开术的可行性研究[J].数理医药学杂志,2016,29(2):191-192.

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更新日期/Last Update: 1900-01-01