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胆总管探查术后一期缝合胆管68例临床分析

The clinical analyse of 68 cases of the first period bile duct suture after the bile duct examing operation
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摘要 目的探讨胆总管探查术后胆管一期缝合的临床疗效。方法回顾分析我院从1999年6月至2006年7月阎。共68例胆管探查术后胆管一期缝合而不留置T管引流,其中男性30例,女性38例,均为胆总管结石病例。结果本组胆总管探查术后68例,均行胆总管一期缝合,3年跟踪复查无结石复发。结论传统胆总管探查术后放置T管引流已成常规。但可发生胆汁大量丢失,水电解质紊乱,影响病人食欲及消化功能,T管压迫胆管壁致缺血坏死等不良后果,一期缝合胆总管可克服以上缺点,缩短病人住院天数,减轻病人痛苦,临床效果满意,但应严格掌握适应征。 Objective To evaluate the clinical curative effect of the first period bile duct suture after the bile duct examing operation. Methods From June 1999 to July 2006, there were 68 patients who got the first period bile duct suture after the bile duct examing operation without placing T tube to drain. Among the 68 cases, 30 are males and 38 females. They were all patients of cholelith. Results The 68 cases allhave the first period bile duct suture after the bile duct examing operation.. After 3 years following check, none suffers a relapse. Conclusion It' s convention to place T tube to drain after the traditional bile duct examing operation, but it' s possible to lose a great deal of bile, lead to electrolyte disorder, affect the patients' appetite and digesting function, and also some bad effects like which is caused by the T tube' s pressing against the wall of blood vessel. The first period bile duct suture can overcome the shortage above. It can shorten the patients' time inhospital and alleviate the patients' suffering with satisfying clinical effect, but we shouldhave a strict grasp of the indication.
作者 李宏伟
出处 《中国保健营养(临床医学学刊)》 2008年第11期28-29,共2页 China Health Care Nutrtion
关键词 胆总管切开探查术 一期缝合 T管引流 Bile duct examing operation: The first period suture T tube drainage
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