腹腔镜胆总管探查术治疗胆囊结石术后一期缝合与T管留置的疗效比较

Efficacy comparison of primary suture and T tube indwelling in laparoscopic common bile duct exploration for cholecystectomy

目的 比较术后一期缝合与T管留置在腹腔镜胆总管探查术治疗胆囊结石中的临床效果.方法 将2015年7月至2016年7月80例采用腹腔镜胆总管探查术治疗的胆囊结石患者随机分为两组,缝合组患者给予一期缝合处理,留置组患者给予T管留置处理.比较两组患者相关临床参数、炎症指标与并发症.结果 缝合组术中出血量、手术时间、肛门排气时间、引流时间、住院时间与医疗费用均显著低于留置组;缝合组治疗后白细胞计数（WBC）、C-反应蛋白（CRP）与总胆红素（TBIL）水平均显著低于留置组,差异有统计学意义（P〈0.01）;缝合组并发症发生率明显低于留置组,差异有统计学意义（P〈0.05）.结论 一期缝合在腹腔镜胆总管探查术中治疗胆囊结石的临床效果更为显著,具有借鉴意义.

Objective To compare the clinical effect of primary suture and T tube indwelling on laparoscopic common bile duct exploration for gallstones.Methods Eighty patients underwent laparoscopic common bile duct exploration who were admitted from July 2015 to July 2016 were randomly divided into two groups.Patients in the suture group were treated by one-stage suture, and patients in the indwelling group were treated by T tube indwelling.The clinical parameters, inflammation index and complications were compared between the two groups.Results The bleeding volume, operation time, anal exhaust time, drainage time, hospitalization time and medical expenses of the patients in the suture group were significantly lower than those in the indwelling group;After treatment, the WBC, CRP and TBiL levels of suture group were significantly lower than those of indwelling group （P〈0.01）.The overall complication rate of suture group was significantly lower than that of indwelling group （P〈0.05）.Conclusions The clinical effect of laparoscopic common bile duct exploration on cholecystolithiasis is more significant and can be used for reference.