两种胆总管缝合技术在腹腔镜胆总管结石手术中的应用比较

Comparison of two common bile duct suture techniques in laparoscopic choledocholithotomy

目的:比较两种胆总管缝合技术在腹腔镜胆总管结石手术中的应用价值。方法:选取2019年9月-2020年9月实施腹腔镜胆总管结石手术的患者92例,随机分为两组,各46例。对照组实施常规胆总管缝合技术;试验组实施三针法缝合胆总管。比较两组应用效果。结果:试验组缝合时间明显短于对照组,差异有统计学意义(P<0.05);两组术后住院治疗时间、医疗费用及术后胆瘘发生率比较,差异无统计学意义(P>0.05)。结论:应用三针法缝合胆总管与常规法缝合胆总管,对腹腔镜胆总管结石手术均有一定干预价值,但三针法缝合胆总管优势性更强,缝合效果更理想,可作为T管引流术、胆管探查中胆总管缝合的首选方法。

Objective:To compare the application value of two common bile duct suture techniques in laparoscopic choledocholithotomy.Methods:From September 2019 to September 2020,92 patients undergoing laparoscopic choledocholithotomy were selected and randomly divided into two groups with 46 cases in each group.The control group received conventional suture technique of common bile duct.The experimental group was treated with three needle suture of common bile duct.We compared the application effect of the two groups.Results:The suture time of the experimental group was significantly shorter than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in hospitalization time,medical expenses and incidence of biliary fistula between the two groups(P>0.05).Conclusion:The three needle suture of common bile duct and the conventional suture of common bile duct have certain intervention value in laparoscopic choledocholithiasis,however,the three needle suture method has more advantages and better suture effect,it can be used as the first choice of suture of common bile duct in T-tube drainage and bile duct exploration.