胆总管切开取石Ⅰ期缝合的可行性及与传统T管留置的疗效对比

Feasibility of Primary Suture of Choledocholithotomy and Stone Removal and Comparison of Curative Effect with Traditional T-tube Indwelling

目的分析对比胆总管切开取石Ⅰ期缝合的可行性及与传统T管留置的疗效。方法选择2015年1月至2017年4月我院收治的65例胆总管结石患者,依照随机数字表法将其分为对照组与试验组,对照组术后施以传统T管留置,试验组术后施以Ⅰ期缝合,观察两组患者的临床治疗效果、手术时间、术后肠功能恢复时间、排气时间、术后住院时间、住院费用与并发症情况。结果试验组的临床总有效率较高,各项时间较短,住院费用与并发症较低,与对照组比较有显著性差异(P<0.05)。结论胆总管切开取石Ⅰ期缝合具有较高的可行性,并且其临床疗效优于传统T管留置,具有较高的临床推广价值。

Objective to analyze and compare the feasibility of primary suture of choledocholithotomy with that of traditional t-tube indwelling.Methods 65 patients with choledocholithiasis admitted to our hospital from January 2015 to April 2017 were divided into control group and experimental group according to random number table method.the control group received traditional t-tube indwelling after operation and the experimental group received primary suture after operation.the clinical treatment effect,operation time,postoperative intestinal function recovery time,exhaust time,postoperative hospitalization time,hospitalization expenses and complications of the two groups were observed.Results The total clinical effective rate of the experimental group was higher,the duration of each time was shorter,the hospitalization expenses and complications were lower,and the difference was significant compared with the control group(P<0.05).Conclusion The primary suture of common bile duct incision and stone removal is feasible,and its clinical effect is superior to that of traditional t tube indwelling,thus it has high clinical popularization value.