胆管探查后胆总管一期缝合术的实验研究与临床应用

Experimental Study and Clinical Application of Primary Choleledochorrapby after Choledochotomy

用犬建立动物模型，对比观察胆总管一期缝合术和传统Ｔ管法光镜及电镜下的胆管组织学变化，结果表明胆总管一期缝合术各项指标均优于传统手术方法。３０例胆石症患者的临床应用也证明，该方法简便、安全、可靠。建议对具备适应证的患者均应行胆总管一期缝合术。

An animal model was established in dogs to compare primary choledochorraphy with thetraditionaI T-tube method.Authors observed cholangic histologic changes under microscopeand electron-microscope between the two groups. The result showed that primary choledo-chorraphy was better than the traditional method.The advantage of primary choledochor-raphy lies in its simplicity,safety and reliability,which have been shown in 30 patients ofcholelithiasis in clinical application. It is suggested that for patients primary choledochor-raphy may clesirably be used for patients who are indicated for this approach.