胆总管取石术后T型管夹管方法的研究

为探讨一种胆总管取石术后减少胆汁丢失的方法 ,对 180例行胆总管取石术、T型管引流患者给予选择性、试验性早期夹管 (夹管组 ) ,并与 12 0例不行夹管者 (对照组 )进行比较。结果显示 ,夹管组术后血液中电解质变化、每日胆汁丢失量、每日输液量等方面与对照组比较差异有显著性 (P<0 .0 1) ,夹管组肠功能恢复早 ,平均住院天数短。认为胆总管取石术后早期行 T型管夹管 ,能减少胆汁丢失 ,患者下床活动早 。

To evaluate a method which can decrease loss of bile after common duct jtoneremoving operation 180 patients who received common duct stone removing T type drainage were given selective and experimental pipe griping to compare with those who weren’t give such pipe griping and observed the clinical results Results showed that the differences of the electrolyte changing in the blood,the everyday amount of bile losing,the everyday amount were of remarkable differance in patients who were given early pipe griping and the control group(P<0 01) As for the pipe griping group,the intestinal function recovered early and the average hospitalization days were short as well This suggests that the early pipe griping of the T type pipe after common duct stoneremoving openation can reduce the loss of bile,make the patient convenient to move out of bed and favorable to the patient’s clinieal healing