胆总管取石术后T型管夹管方法的研究

为探讨一种胆总管取石术后养活胆汁丢失的方法。对180例胆总管取石术、T型管引流患者给予选择性、试验性早期夹管（夹管组）,并与120例不行夹管者（对照组）进行比较。结果显示,夹管术后血液中电解质变化、每日胆汁丢失量、每日输液量等方面与对照组比较差异有显著性（P＜0.01),夹管组肠功能恢复早,平均住院天数短。认为胆总管取石术后早期行T型管夹管,能减少胆法丢失,患者下床活动早,手术愈合快。

Clinical research ongriping T-type pipe earlg after stonermoving operation of common bile duct

To evaluate a method which can decrease loss of bile after commonduct jtoneremoving operation.180 patients who received common duct stone-removing T-type drainage were given selective and experimental pipe-griping to compare with those who weren’t give such pipe-griping and observed the clinical results.Results showed that the differences of the electrolyte-changing in the blood,the everyday amount of bile-losing,the everyday amount were of remarkable differance in patients who were given early pipe-griping and the control group（P＜0.01）.As for the pipe-griping group,the intestinal function recovered early and the average hospitalization days were short as well.This suggests that the early pipe-griping of the T-type pipe after common duct stoneremoving openation can reduce the loss of bile,make the patient convenient to move out of bed and favorable to the patient’s clinieal healing