腹腔镜胆总管探查术后胆总管一期缝合与T管引流的临床效果

Clinical Effect of Primary Closure of the Common Bile Duct and T-tube Drainage after Laparoscopic Common Bile Duct Exploration

目的:分析腹腔镜胆总管探查术后T管引流及胆总管一期缝合的临床效果。方法:选取笔者所在医院2017年1月-2018年2月120例实施腹腔镜胆总管探查术患者,采用随机数字表法分为观察组和对照组,每组60例。观察组术后使用胆总管一期缝合治疗,对照组术后使用T管引流治疗。对比两组手术时间、住院时间、术中出血量及术后并发症发生率。结果:观察组住院时间及手术时间均明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为8.33%,低于对照组的21.67%,差异有统计学意义(P<0.05)。结论:腹腔镜胆总管探查术后使用胆总管一期缝合治疗的效果比T管引流更显著,并发症更少,值得临床应用推广。

Objective:To analyze the clinical effects of T-tube drainage and primary closure of the common bile duct after laparoscopic common bile duct exploration.Method:A total of 120 patients who underwent laparoscopic common bile duct exploration from January 2017 to February 2018 were selected.According to the random number table method,patients were randomly divided into the observation group and the control group,with 60 cases in each group.The observation group was treated with primary closure of the common bile duct after operation,and the control group was treated with T-tube drainage after operation.The operation time,hospitalization time,intraoperative blood loss and the incidence of postoperative complications in the two groups were compared.Result:The hospitalization time and operation time of the observation group were significantly shorter than those of the control group,and the intraoperative blood loss was also significantly less than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 8.33%,which was lower than 21.67%of the control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of primary closure of the common bile duct after laparoscopic common bile duct exploration is more significant than T-tube drainage,with fewer complications,which is worthy of clinical application and promotion,which is worthy of clinical application.