“尹氏”T管放置法在腹腔镜胆肠吻合术中的临床疗效分析

Clinical analysis of Yin's T-tube placement in laparoscopic cholangiojejunostomy

目的探讨"尹氏"T管放置法与常规T管放置法在腹腔镜胆肠吻合术中的临床疗效及安全性。方法回顾性分析2015年1月至2017年8月在湖南省人民医院收治的162例行腹腔镜胆肠吻合(手术方法包括腹腔镜胆肠内引流术、胰十二指肠切除术)的患者,采用"尹氏"T管放置法患者122例(观察组)、常规T管放置法患者40例(对照组),比较两组的术中放置时间、放置过程中出血量、术后胆道出血发生率、胆漏发生率。结果观察组122例,年龄3～75岁,平均(48. 84±16. 01)岁;对照组40例,年龄4～74岁,平均(46. 03±17. 14)岁。与常规T管放置法相比,"尹氏"T管放置法的术中放置时间更短[(5. 42±2. 12) min vs (14. 54±5. 41) min,P <0. 00],但两组的放置过程中出血量、胆道出血发生率及术后胆漏发生率比较,无明显差异(P> 0. 05)。结论 "尹氏"T管放置法在腹腔镜胆肠吻合术中安全、可靠、简便,值得广泛推广。

Objective To investigate the clinical efficacy and safety of'Yin’s'T-tube placement and T-tube placement in laparoscopic cholangiojejunostomy.Methods The study retrospectively analyzed162 patients undergoing laparoscopic cholangiojejunostomy from Jan.2015 to Aug.2017 in Hunan Provincial People’s Hospital.122 cases adopted'Yin’s'T-tube placement method(observation group),and 40 cases used conventional T-tube placement method(control group).The operation time,bleeding during placement,the incidence of biliary tract bleeding and the incidence of postoperative bile leakage were compared between the observation group and the control group.Results The observation group consisted of122 patients aged from 3-75 years,with an age of(48.84±16.01)years and a control group of 40 patients aged from 4-74 years,with an age of(46.03±17.14)years.Compared with the conventional method,'Yin’s'T-tube placement method had shorter placement time[(5.42±2.12)min vs(14.54±5.41)min,P<0.00],but there was no significant difference in the amount of bleeding,the incidence of biliary tract bleeding and the incidence of postoperative bile leakage between the two methods(P>0.05).Conclusions'Yin’s'T-tube placement method in laparoscopic cholangiojejunostomy is safe,reliable,simple and worthy of widespread promotion.