| 胆总管切开探查术后一期缝合的临床探讨 |
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| 引用本文： | 林建寿,严得庆,高亚军. 胆总管切开探查术后一期缝合的临床探讨[J]. 国际外科学杂志, 2009, 36(2). DOI: 10.3760/cma.j.issn.1673-4203.2009.02.004 |
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| 作者姓名： | 林建寿 严得庆 高亚军 |
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| 作者单位： | 武警青海总队医院普外科,西宁,810000;武警青海总队医院普外科,西宁,810000;武警青海总队医院普外科,西宁,810000 |
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| 摘 要： | 目的 探讨胆总管切开探查一期缝合不置T管引流的可行性、手术指征及临床价值.方法 按适应证选择胆总管结石或可疑结石104例,随机分为一期缝合组及T管引流组,一期缝合组探查术后不置T管引流,用5-0无损伤可吸收缝线作一期缝合.观察并比较两组患者术后用药情况、恢复情况、术后并发症、住院时间及费用情况,并进行随访.结果 一期缝合组术后抗生素使用时间、平均输液量、输液时间、肠功能恢复时间、下床活动时间、平均住院时间及住院费用均较T管引流组减少(P均<0.05);随访6个月～3年,无有胆管狭窄的临床征象,术后并发症发生率与T管引流组的差别无统计学意义(P>0.05).结论 只要正确掌握手术适应证及缝合技巧,胆总管探查后一期缝合是安全可行的,有推广应用价值.
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| 关 键 词： | 胆总管切开 一期缝合 T管引流 胆总管探查 |
Primary suture of common bile duct after exploration |
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| LIN Jian-Shou,YAN De-Qing,GAO Ya-Jun. Primary suture of common bile duct after exploration[J]. International Journal of Surgery, 2009, 36(2). DOI: 10.3760/cma.j.issn.1673-4203.2009.02.004 |
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| Authors: | LIN Jian-Shou YAN De-Qing GAO Ya-Jun |
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| Abstract: | Objective To study the feasibility, indications and clinical value of primary suture after the common bile duet exploration(CBDE).Methods One hundred and fimr cases of choledocholithiasis were chosen for primary suture by 5-Oviger after CBDE. Post-operative complications and the length of hospital stay were compared with those with T-tube drainage. Results Compared with T-tube drainage group, the complication rate was reduced and the length of hospital stay in primary suture group was shortened. And also the mortality and operation time were decreased significantly. Conclusion The primary suture after CBDE in selected oases is safe and reliable. |
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| Keywords: | exploration of the common bile duct primary suture T-tube drainage choledochotomy |
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