术中放置鼻胆管在胆总管切开取石探查后一期缝合的研究

Study on intraoperative placement of nasobiliary tube with primary suture of common bile duct after choledochotomy

目的探讨术中放置鼻胆管在胆总管切开取石探查后一期缝合术与传统胆总管探查T管引流术疗效的对比。方法对我院2005年6月至2007年3月126例胆石症患者行手术治疗进行回顾性分析,其中65例术中采用T管引流(T管组),61例采用鼻胆管引流(鼻胆管组),两组术后均经胆道造影证实通畅。结果鼻胆管组与T管组比较,后者术后拔管及胆汁引流时间明显缩短,(P<0.05);术后住院天数明显缩短(P<0.05);术后与引流相关的并发症发生率低(P<0.05)。结论胆道外科术后采用鼻胆管引流能够缩短患者住院时间,可避免胆汁大量丢失,并发症少,避免了长期带T管的痛苦,是一种较为理想的引流方式。

Objective To investigate the effective comparison between the intraoperative placed nasobiliary tube and primary sature of common bile duct following choledochotomy and traditional choledochotomy with exploration and T tube drainage. Methods From June 2005 to March 2007,126 cases with cholethiasis received operative treatment were analyzed retrospectively. Among them, T tube drainage （T tube group） was used in 65 cases and nasobiliary tube drainage （Naso biliary tube group） was in 61 cases. Results Comparing nasobiliary tube group with T tub group, the former in the time of postoperative decannulation and postoperative hospitalization days were obviously shorter than that the latter （P〈0.05）. Incidence of postoperative and correlated drainage complications were obviously lower in the former （P〈0.05）. Condusion Following biliary surgery, nasobiliary tube drainage has shorter hospitalization, avoiding loss of massive bile and suffering of longterm retained T tube and less complication etc advantages. So, it is a more desirable drainage method.