腹腔镜胆总管切开取石后一期缝合治疗胆总管结石疗效观察

Effect of primary suture treatment of common bile duct stones after laparoscopic choledocholithotomy

目的探讨腹腔镜胆总管切开取石术后一期缝合治疗胆总管结石的临床疗效。方法选取2010~2013年我院收治的胆总管结石患者30例,随机分为对照组及观察组,对照组行四孔法手术,术后留置T管、腹腔引流管,腹腔镜直视下留置入胆总管并间断缝合胆总管,观察组则选取经B超或者MRI胆管造影证实胆总管结石存在的患者切开取石后一期缝合,对比两组患者的手术时间、出血量、术后肠恢复时间以及并发症等。结果两组患者在手术时间、出血量、恢复时间以及并发症发生率方面差异有统计学意义（P〈0.05）。结论在把握手术适应证的前提条件下,腹腔镜胆总管切开取石一期缝合术临床效果优异,值得推广应用。

Objective To investigate the clinical efficacy of laparoscopic common bile duct stone treatment of choledocholithiasis after primary suture. Methods Selected from 2010 to 2013 of 30 patients with choledocholithiasis in our hospital, and they were randomly divided into control group and observation group, the control group for 4 hole method of operation, T tube, peritoneal drainage after surgery, laparoscopic common bile duct retained into and interrupted suture of common bile duct, while the observation group was selected by the B ultrasound or MRI cholangiography confirmed the presence of common bile duct stones in patients after lithotomy suture. Operation time, bleeding volume,postoperative recovery time, complications and other aspects of the situation in two groups were compared. Results The two groups patients in the operation time, bleeding volume, recovery time and the complication rate had statistically significant difference（P〈0.05）. Conclusion Adaptive grasp prerequisite license in surgery, laparoscopic choledocholithotomy with primary suture excellent clinical effect, it is worthy of popularization and application.