| 胆总管探查内置引流一期缝合的临床研究 |
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| 引用本文： | 蔡一亭,吴炜,施亚周. 胆总管探查内置引流一期缝合的临床研究[J]. 中国基层医药, 2009, 16(9): 1575-1576. DOI: 10.3760/cma.j.issn.1008-6706.2009.09.022 |
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| 作者姓名： | 蔡一亭 吴炜 施亚周 |
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| 作者单位： | 上海交通大学附属仁济医院崇明分院外科,上海市,202150 |
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| 摘 要： | 目的探讨胆总管切开探查胆道内置引流管、胆总管一期缝合的临床应用可行性、安全性和有效性。方法20例患者放置胆道内置管引流、胆总管一期缝合，并与同期20例放置T管引流的临床资料进行对照。结果两组平均恢复时间分别为（9．2±1．3）d、（15．2±3．6）d（P〈0．01）；住院费用分别为（3252±312）元、（4116±388）元（P〈0．01）。结论胆总管切开探查后放置胆道内置管引流、胆总管一期缝合是一种安全、有效、可行的胆道引流方法。
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| 关 键 词： | 胆总管结石 引流术 胆道外科手术 |
A clinical study on common bile duct exploration with endobiliary drainage and primary closure |
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| CAI Yi-ting,WU Wei,SHI Ya-zhou. A clinical study on common bile duct exploration with endobiliary drainage and primary closure[J]. Chinese Journal of Primary Medicine and Pharmacy, 2009, 16(9): 1575-1576. DOI: 10.3760/cma.j.issn.1008-6706.2009.09.022 |
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| Authors: | CAI Yi-ting WU Wei SHI Ya-zhou |
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| Affiliation: | . (Department of Surgery,Chongming Branch of Renji Hospital of Shanghai Jiaotong University, Shanghai 202150, China) |
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| Abstract: | Objective To investigate the salty, efficacy and feasiblify on eholedochotomy with endobiliary drainage and prumary closure of the common bile duct. Methods There were 20 partients without introhepatic or re-tained stones and biliary stricture underwent common bile duet exploration. 20 of them with endobiliary tube drainage and primary CBD closure and the other 20 patients with T tube drainage. Results The average of the time to return routine home was (9. 2 ±1. 3)d, (15. 2 ± 3.6) d(P < 0. 01). The hospital expense of postoperation was (3 252± 312)Yuan,(4 116±388)Yuan(P<0.01). Conclusion Choledochotomy with endobiliary catheter and primary closure of CBD is a safe, effective and feasible procedure for the management of choledochohthiasis. |
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| Keywords: | Common bile duct calculi Drainage Biliary tract surgical procedures |
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