摘要
目的 :探讨胆总管切开取石后一期缝合的可行性及适应证。方法 :以常规胆总管切开取石放置T管为对照 ,分析、总结该院 1992年 4月～ 2 0 0 2年 2月开展胆总管切开取石后一期缝合 4 2 1例临床经验。结果 :胆总管一期缝合组 (实验组 )和放置“T”管组 (对照组 )的切口愈合情况无显著差异 ,但实验组留院时间明显少于对照组 ,未见胆漏等严重并发症 ,且B超和同位素γ胆道造影长期随访结果要优于对照组。结论 :胆总管探查后行一期缝合 ,不仅安全有效 ,且有利于患者康复和改善预后。
Objective:The aim of this study is to discuss the feasibility and indications for primary suture of the incision in one stage postcholedochotomy.Methods:The clinical data on 421 patients undergoing exploration of common bile duct were reviewed, who received primary suture of the incision in one stage from April 1992 to February 2002 and were matched control to parallel patients receiving incision with the placement of a T tube. Result: There was no remarkable difference between 2 groups in healing of incisions, but test group was better than control group in the time staying in hospital, complication(especially bile leakage) and follow-up result by ultrasound scan and isotope ^-cholangiography. Conclusion:Primary suture of the incision in one stage postcholedochotomy is safe and effective, could be performed in most patients receiving choledochotomy, which is helpful to the recover and prognosis of patients.
出处
《中国现代医学杂志》
CAS
CSCD
2002年第22期11-12,共2页
China Journal of Modern Medicine
