胆总管探查、内引流并一期缝合术的疗效分析

Effect Analysis of Common Bile Duct Exploration,Internal Drainage and Issue of Suture

目的研究并分析胆总管探查、内引流并一期缝合术的疗效.方法：选取460例从2006～2012年收治于我院的胆总管结石患者,将患者随机分为两组：观察组（224例）实施胆总管探查、内引流并一期缝合术,对照组（236例）实施传统胆道探查、T型管引流术,术后对所有患者定期随访.记录、比较所有患者的治疗效果、术后恢复情况、并发症发生情况.结果：两组手术时间、术中出血量、手术成功率、并发症相差不大,差异不具有统计学意义（P〉0.05）;观察组的住院时间、手术费用、术后修养时间均少于对照组,差异具有统计学意义（P〈0.05）.结论：胆总管探查、内引流并一期缝合术可以达到传统治疗的疗效,并提高患者术后恢复能力,减轻患者经济压力.

Objective: To study and analyze the common bile duct exploration,the curative effect of internal drainage and issue of suture.Methods:Choose 460 cases from 2006 to 2006 treated in our hospital patients with common bile duct calculi,patients were randomly divided into two groups:observation group(224 cases),the implementation of common bile duct exploration,internal drainage and issue of suture,controlled way(236 cases) to implement the traditional bile duct exploration and T tube drainage,regular follow-up for all patients after surgery.Records,and compare the curative effect of all of the patients,postoperative recovery and complications.Results:Two groups of operation time,intraoperative blood loss,surgical success rate and complications were similar,no statistically significant difference(P>0.05); Observation group hospitalization time,surgery,postoperative training time is less than the control group,difference has statistical significance(P<0.05).Conclusion:Common bile duct exploration,drainage and issue of suture technique can achieve the curative effect of traditional treatment,and improve the ability of patients with postoperative recovery,patients to reduce the economic pressure.