胆道探查术后内引流管置入联合胆总管一期缝合的临床效果观察

Clinical Study on the Treatment of Primary Suture of Common Bile Duct with Internal Drainage Tube after Bile Duct Exploration

目的：分析胆道探查术后内引流管置入联合胆总管一期缝合的临床效果。方法：回顾分析我院2013年5月~2015年12月间胆总管结石患者病例资料460例数据,依据手术方式将病例分成观察组、对照组。观察组患者224例,对照组患者236例。观察组行胆道探查＋胆总管末端置细支撑管联合胆总管一期缝合术,对照组行传统胆道探查＋T型管引流术。结果：治疗两组手术出血量、拔管时间、并发症可能性均无明显区别,无统计学意义（P〉0.05）,观察组患者术后住院时间、术后肠道功能恢复时间要明显好于对照组,差异具有统计学意义（P〈0.05）。结论：胆总管末端置细的支撑管联合胆总管一期缝合,术后应用十二指肠镜拔除所置支撑管,操作方法简单易行,手术效果可靠,缩短了患者住院时间,减少了住院费用,已为广大患者接受。

Objective： To analyze the postoperative biliary internal drainage tube implantation combined with commonbile duct suture clinical effect.Methods：A retrospective analysis of our hospital in may in 2013-December in 2015 yearsof common bile duct stones in patients with clinical data of 460 cases of data,according to surgical patients were dividedinto observation group,control group.224 cases of observation grouppatients,236 patients of control group. Observationgroup,for exploration of common bile duct ＋ distal common bile duct the fine support tube combined with common bileduct suture,control group underwent traditional bile duct exploration and ＋T tube drainage.Results： Bleeding volume duringoperation,extubation time,complications likely of two groups had no obvious difference,no statistical significance （P〉0.05）,observation group,of patients with postoperative hospitalization time,postoperative intestinal function recovery timewas significantly better than that in control group,the difference is statistically significant P〈0.05）.Conclusion：At the end ofthe common bile duct set fine support tube with common bile duct suture,postoperative application of endoscopic removal tothe support tube,method is simple and easy in operation,reliable operation,shorten the hospitalization time,reduce the cost ofhospitalization,for the majority of patients accepted.