摘要
目的评价胆管空肠吻合术一期缝合的合理性可行性和效果.方法回顾性分析该院2001年1月～2002年8月胆管空肠吻合手术的病例、一期缝合87例与放置T管引流的60例进行比较.结果2组无死亡病例,术后无出血或胆漏.一期缝合组术后伤口换药次数3.81次,平均输液4.92 d、平均输液量8.75 L、平均住院8.23 d、恢复正常生活12.70 d;与T管引流组的术后平均伤口换药次数6.21次,平均输液7.51 d、平均输液量12.50L、平均住院13.0d、恢复正常生活时间29.5d相比,差异有显著性(P＜0.01).随访3～36个月,平均25个月无1例发现残石以及胆道狭窄.结论在有选择的病例中,胆管空肠吻合术不放置T管是可行的.
To evaluate the safety and reliability of T tube free choledochojejunostomy Roux-en-Y. From January 2001 to August 2002,147 patients underwent the choledochojejunostomy. Among them, 87 received primary closure of the choledochojejunostomy(group A) and 60 T tube drainage(group B). There was no complication in 147 patients. After surgery, the average frequencies of dressing change, time and volume of transfusion was 3.81 times, 4.92 days and 8.75 L in group A, versus 6.21 times, 7.51 days and 12. 50 L in group B(P<0.01). The patients in group B had a longer postoperative hospitalstay and orthobiosis than the those in group A(average 8.23 and 12.7 :13.0 and 29.5 days, P <0.01). No stone recurrence and duct stricture were found at a mean follow-up of 25 months. [Conclusion] T tube free T tube free as an alternative to the as an alternative is safe and feasible,with avoiding the potential complications related to the T tube placement.
出处
《中国医学工程》
2005年第2期188-190,共3页
China Medical Engineering
