| 纤维胆道镜下胆总管探查术后一期缝合胆总管的临床研究 |
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| 引用本文： | 聂传庚,杨志奇,胡涛,秦仁义.纤维胆道镜下胆总管探查术后一期缝合胆总管的临床研究[J].临床外科杂志,2005,13(5):287-288. |
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| 作者姓名： | 聂传庚 杨志奇 胡涛 秦仁义 |
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| 作者单位： | 430030,武汉,华中科技大学同济医学院附属同济医院胆胰外科;湖北省荆州市中心医院普外科 |
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| 摘 要： | 目的探讨纤维胆道镜胆总管探查术后一期缝合胆总管的可行性和手术指征及手术方法。方法选择性地对273例有胆总管探查指征的患者,在术中行纤维胆道镜检查后行胆总管一期缝合,回顾性分析其治疗效果。结果273例均获痊愈。有11例发生胆漏(4.03%),4例发生切口感染。随访3个月～13年未见结石残留及胆管狭窄。结论只要严格掌握适应证,纤维胆道镜下胆总管探查后一期缝合胆总管是安全可行的。
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| 关 键 词： | 胆总管探查术 一期缝合 纤维胆道镜 |
| 文章编号： | 1005-6483(2005)05-0287-02 |
| 修稿时间： | 2005年1月25日 |
Clinical study of primary suture of common bile duct after exploration under fibercholedochoscope |
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| NIE Chuan-geng,YANG Zhi-qi,HU Tao,et al..Clinical study of primary suture of common bile duct after exploration under fibercholedochoscope[J].Journal of Clinical Surgery,2005,13(5):287-288. |
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| Authors: | NIE Chuan-geng YANG Zhi-qi HU Tao |
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| Abstract: | Objective To investigate the feasibility,indications and methods of the primary suture of common bile duct after exploration under fibercholedochoscope.Methods The therapeutic effectiveness of primary suture of common bile duct in 273 cases having the indications subject to exploration of common bile duct under fibercholedochoscopy was retrospectively analyzed.Results All the 273 cases fully recovered.The bile leakage occurred in 11 cases and incision infection in 4 cases respectively.During the follow-up of 3 months to 13 years,no residual calculus and stricture of bile duct were seen.Conclusion If only the indication is properly mastered,the primary suture of common bile duct following exploration under fibercholedochoscopy was safe and feasible. |
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| Keywords: | exploration of common bile duct primary suture fibercholedochoscope |
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