胆总管探查一期缝合与T管引流的临床研究

Clinical Research of Exploration of Common Bile Duct One stage Suture and T-tube Drainage

目的探讨胆总管探查一期缝合术的安全性。方法回顾性分析2002年6月-2007年6月因胆总管结石行胆总管探查术113例的临床资料,比较胆总管一期缝合61例(缝合组)与T管引流52例(引流组)的临床效果。结果手术时间与腹腔引流时间在两组间的差异无统计学意义(P>0.05),缝合组的术后住院时间和补液量少于引流组(P<0.05)。缝合组在术后胆漏(4/61),结石残留(2/61)和结石复发(5/61)等并发症方面与引流组(分别为2/52,3/52,4/52)比较差别无统计学意义(P>0.05)。引流组拔T管后引起胆汁性腹膜炎2例。两组均未发生术后胆管狭窄。结论胆总管探查后一期缝合是一种安全的手术方法。

Objective To explore suture security of the common bile duct exploration. Methods the clinical 52 cases （ A retrospective analysis of from June 2002 to June 2007 common bile duct stones 113 cases data, compared common bile duct 61 cases suture （stitching）, with T -tube drainage drainage in Group） clinical results. Results Surgery time drainage time between the two groups were not significantly different （ P 〉 0.05 ）, the suture group length of stay less than that of fluid drainage group （ P 〈0. 05）. In the suture group bile leakage （4/61）, residual stones （2/61） and the stone recurrence （5/61） compared with complications of drainage group （2/52,3/52,4/52）, There was no significant difference （ P 〉 0. 05 ）. T tube drainage group 2 cases of bile peritonitis. The two groups did not occur bile duct stricture. Conclusion Common bile duct exploration one stage suture is a safe method of operation.