腹腔镜胆总管探查I期缝合术的临床研究

目的探究胆总管结石患者采用腹腔镜胆总管探查Ⅰ期缝合术治疗的临床效果。方法选取胆总管结石患者56例,按照治疗方式的不同分为实验组和对照组,每组28例;实验组患者给予腹腔镜胆总管探查Ⅰ期缝合术治疗,对照组患者给予开腹胆总管探查且行T管引流术治疗;观察两组患者的临床疗效及安全性情况。结果两组患者治疗后病情均有改善,但实验组患者的住院时间（8.3±1.6）d、术中出血量（24.7±4.6）mL及血清TNF-α水平（9.3±6.7）pg·mL显著优于对照组的住院时间（15.4±1.4）d、术中出血量（53.5±6.1）mL及血清TNF-α水平（20.7±1.6）pg/mL,差异有统计学意义（P〈0.05）。结论胆总管结石患者实施腹腔镜胆总管探查Ⅰ期缝合术治疗,有效的减少了患者术后胆漏的发生率,降低了患者术后血清TNF-α的水平,促进了患者术后的恢复,安全有效,疗效显著,值得推广。

Clinical Study of Laparoscopic Common Bile Duct Exploration I Suture

Objective To study the clinical effect of laparoscopic common bile duct exploration I suture on patients with common bile duct stone. Methods 56 patients with common bile duct stones were selected and divided into the experimental group and the control group according to different treatment methods, 28 cases in each group. The experimental group was treated with laparoscopic common bile duct exploration I suture, the control group was treated with laparoscopic common bile duct exploration and T tube drainage. And the clinical efficacy and safety of the two groups were observed. Results After treatment, the condition of the patients in the two groups improved. The hospitalization time of the experimental group was （8.3±1.6）d, intraoperative blood loss was （24.7±4.6） ml and serum TNF-α level was （9.3±6.7） pgoml-1, significantly better than the control group＇s （15.4±1.4）d, （53.5±6.1）ml, （20.7±1.6） pgoud-1, the differences were statistically significant （P〈0.05）. Conclusion For patients with common bile duct stone, laparoscopic common bile duct exploration I suture can safely and effectively reduce the postoperative bile leakage rate and the serum TNF-α level, promote the recovery of the patients with significant efficacy and is worthy of promotion.