不同治疗方案在胆总管结石患者中应用价值的对比研究

Comparative Study of Different Methods in Treatment of Choledocholithiasis

目的:研究胆总管探查术后一期缝合和T管引流两种不同治疗方案对于治疗胆总管结石的效果。方法:回顾我院2007年1月至2013年8月收治的胆总管结石患者,按照手术方式的不同分为缝合组30例、引流组80例,比较两组患者的临床资料。结果:缝合组手术时间及术后肛门排气时间明显小于引流组(P<0.05);缝合组患者术后1例发现胆管残余结石,引流组术后4例存在残余结石,差异没有统计学差异(P>0.05);缝合组患者术后发生并发症3例,引流组并发症23例,两组患者比较缝合组明显低于引流组(P<0.05)。结论:胆总管探查术后一期缝合术具有安全性高、恢复快等优点。

Objective：To investigate the clinical effect of common bile duct exploration and primary su-ture and T tube drainage in the treatment of common bile duct stones. Method： From Jan. 2007 to Aug. 2013, 110 patients with choledocholithiasis were retrospectively analysed and divided into suture group （ 30 cases） and drainage group （80 cases） according to the different surgery methods. Clinical data were com-pared between two groups. Result：Compared with the drainage group, the patients in the suture group had shorter operation time and postoperative flatus passage time （P〈0.05）. There＇s 1 case of residual stones in suture group and 4 cases in drainage group, and the difference was not statistically significant （P〉0.05）. The incidence of complications in the suture group （ 10%） was significantly lower than the drainage group （ P〈0.05） . Conclusion：Primary suture of common bile duct after exploration is safe and effective way to the treatment of choledocholithiasis.