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改良缝合技术在胆总管探查一期缝合中的应用
引用本文:朱斌,邵伟斌,严栋梁,施海燕.改良缝合技术在胆总管探查一期缝合中的应用[J].中国基层医药,2010,17(19):2649-2650.
作者姓名:朱斌  邵伟斌  严栋梁  施海燕
作者单位:南通市第一人民医院肝胆外科,江苏省南通,226001
摘    要:目的 探讨胆总管探查一期缝合改良缝合技术的临床应用价值.方法 45例胆总管结石患者作胆总管探查一期缝合,用4个"0"慢微乔线对胆道切开处作连续一期缝合,局部加用生物蛋白胶.结果 45例患者无1例发生胆漏,住院费用平均下降10.5%.结论 胆总管探查一期缝合改良缝合技术有利与减少并发症.

关 键 词:胆总管探查术  胆道外科手术  缝合  生物蛋白胶

Clinical application of primary bile duct closure improvement after choledochotomy
ZHU Bin,SHAO Wei-bin,YAN Dong-liang,SHI Hai-yan.Clinical application of primary bile duct closure improvement after choledochotomy[J].Chinese Journal of Primary Medicine and Pharmacy,2010,17(19):2649-2650.
Authors:ZHU Bin  SHAO Wei-bin  YAN Dong-liang  SHI Hai-yan
Institution:1.Departement of Hepatobiliary Surgery, The First Pesple's Hospital of Nantong , The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China;)
Abstract:Objective To determine the value and reasonable application of slowly coated vicryl plus and albumin gel in primary suture after common BD exploration. Methods The operation was successfully performed in all 45 patients. The incision of common bile duct was directly sewed up by slowly coated vicryl plus and spurted by albumin gel after the exploration. Results There were no complications such as bile leakage and bile duct stricture etc.The mean payment of hospitalization was low 10.5%. Conclusion This method was safe,feasible and effective.
Keywords:Common bile duct exploration  Biliary surgery  Suture  Fibrin glue
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