摘要
目的：探讨胆道镜辅助下胆道探查术后一期缝合胆总管的安全性、手术指征及手术方法。方法：选择性地对103例有胆道探查指征的患者，术中行胆道镜探查取石后做胆总管一期缝合，回顾性分析其疗效。结果：103例均获痊愈，5例发生胆瘘，3例复发胆道结石。随访3个月~3年，未出现胆道狭窄、胆道残余结石，无胆管炎、梗阻性黄疸、腹盆腔感染、急性胰腺炎等并发症。结论：只要严格掌握适应证、缝合技巧及技术要领，胆道镜下胆道探查术后一期缝合胆总管是安全的。
Objective：To investigate the security, indications and methods of the primary suture of common bile duct after exploration under choledochoscope.Method：The therapeutic effectiveness of primary suture of common bile duct in 103 cases having the indications subject to exploration of common bile duct under choledochoscope was retrospectively analyzed.Result：All the 103 cases fully recovered.The bile leakage occurred in 5 cases and biliary calculi recurrence occurred in 3 cases.During the follow up of 3 month to 3 years,no residual calculus or stricture of bile duct was seen.No serious obstructive jaundice, cholangitis, pancreatitis or abdominal cavity infection was occurred. Conclusion：If the indication and the technology of bile duct suturation are prepefly mastered, the primary suture of common bile duct after exploration under choledochoscopy is safe.
出处
《中国医学创新》
CAS
2015年第10期138-140,共3页
Medical Innovation of China
关键词
胆道镜
胆道探查术
一期缝合
Choledechoscope
Exploration of common bile duct
Primary suture
