选择性胆总管探查切口一期缝合的临床对照研究

目的 探讨选择性胆总管探查切口一期缝合的临床适应证和可行性.方法 根据术前检查和术中胆管探查结果进行筛选,符合入组条件者随机分组行T管引流或一期缝合术,对其治疗结果进行对照.结果 符合入组条件者共161例,其中一期缝合组85例和T管引流组76例.所有患者均无严重并发症及远期并发症发生.一期缝合组术后平均住院时间(8.5±3.2)d,与T管组(16.3±6.5)d相比,有显著性差异.结论 在严格掌握适应证的前提下,胆总管探查切口采用一期缝合是可行的,较之传统留置T管的方法有一定优势.

A clinical comparison study of selective primary suture after choledochotomy

Objective To discussi the feasibility and indication of selective primary suture after choledo-chotomy. Methods The selected patients were intra-operatively randomized to have either primary suture or T tube drainage after choledochotomy. Comparison of the clinical effects in different groups was done. Re-sults Totally 161 cases were randomized into two groups: the primary sutures group 85 cases and the T tube drainage group 76 cases. All patient had no serious or long-term complications. The average hospital stay in primary suture group was significantly shorter (8.5±3.2) d than T-tube group(16.3±6.5) d. Conclusion Under strict indications, the primary suture after choledochotomy is feasible, and has advantages compared with the traditional method.