| 胆道T管拔（脱）出后重置的技巧 |
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| 引用本文： | 李清龙,王群伟,苗雄鹰,李永国. 胆道T管拔（脱）出后重置的技巧[J]. 中国普通外科杂志, 2008, 17(2): 16-166 |
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| 作者姓名： | 李清龙 王群伟 苗雄鹰 李永国 |
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| 作者单位： | 中南大学湘雅二医院,普通外科,湖南,长沙,410011 |
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| 摘 要： | 目的:探讨纤维胆道镜检查术后重置T管的方法和技巧。方法:256例次纤维胆道镜检查术后患者分成两组；其中85例次采用直接插入法（直接法组）重置T管，171例次采用导丝引导法（导丝法组）重置T管。结果:直接插入法中有3例未能成功重置T管，其中1例误入肠管，拔除T管后经非手术疗法治愈。导丝引导法中T管重置全部成功，且未发生并发症。结论:导丝引导法能成功引导T管重置。
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| 关 键 词： | 孙水平 朱继巧 王昭 原春辉 孙中杰 贺强 詹文华 修典荣 吴胜利 陈大志 何裕隆 蒋斌 于良 吴天鸣 蔡世荣 李智飞 郎韧 彭俊生 李磊 潘飞 马晋平 王昌明 赵昕 陈创奇 宋世兵 张栋 陈正煊 张同琳 盛勤松 |
| 文章编号： | 1005-6947（2008）02-0165-02 |
| 收稿时间： | 2007-09-19 |
| 修稿时间： | 2008-01-29 |
A technique of T-tube replacement |
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| LI Qinglong,WANG Qunwei,MIAO Xiongyin,LI Yongguo. A technique of T-tube replacement[J]. Chinese Journal of General Surgery, 2008, 17(2): 16-166 |
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| Authors: | LI Qinglong WANG Qunwei MIAO Xiongyin LI Yongguo |
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| Affiliation: | (Department of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011,China) |
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| Abstract: | Abstract:Objective:To explore the technique of T-tube replacement after choledochoscopy.Methods :Choledochoscopy was performed in 256 cases, replacement of T-tube was conducted by direct insertion technique in 85 cases (Group A),and by a wire-guide technique in 171 cases(Group B).Results:Three cases of T-tube replacement were unsuccessful in group A, in one case of which, the T-tube was misguided into the bowel and the patient recovered after conservative treatment following the withdrawal of T-tube. In group B, all the T-tube replacements were conducted successfully with the wire-guide technique.Conclusions:Replacement of T-tube is facilitated by the wire-guide technique. |
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| Keywords: | Biliary Tract Surgical Procedures Choledochoscope Drainage Replacement T-tube |
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