摘要
目的:探讨胆总管探查T管引流的替代方法。方法:胆总管结石患者采用开腹手术,进行胆总管切开探查取石后,通过导丝将蝴蝶结形可自行脱落支架管的远端置入十二指肠,胆总管切口一期缝合。结果:该法治疗31例患者,选择同期完成的放置T管引流30例患者作为对照组;术后平均住院时间分别为9.1 d和14.9 d (P <0.05),两组近期并发症及肝功能水平无明显差异。全部支架管自行脱落并随粪便排出,支架排出时间为(13.8 ±2.91) d。结论:胆总管探查术中在胆总管下端放置蝴蝶结形可自行脱落支架管是T管引流的有效替代方法,可减少T管引流的相关并发症。
Objective: To explore the alternative methods of T-tube drainage in common bile duct exploration. Methods: Open common bile duct exploration (OCBDE) was done in patients with common bile duct (CBD) stones. After extraction of stones, the bowknot-liked stent was pushed into the distal part of the bile duct and lumen of the duodenum over a guide wire. The CBD incision was primarily closed. Results: This technique was used in 31 patients. While T-tube placement was performed in 30 patients of control group. The average postoperative hospital stay was 5.7 and 9.5 days (P
作者
孙象军
王明春
曹玉军
秦军
杜成江
Xiangjun Sun;Mingchun Wang;Yujun Cao;Jun Qin;Chengjiang Du(Department of Hepatobiliary and Pancreatic Surgery, Linyi People’s Hospital Affiliated to Shandong University,Linyi Shandong;Operation Room, Linyi People’s Hospital Affiliated to Shandong University, Linyi Shandong)
出处
《亚洲外科手术病例研究》
2017年第1期1-4,共4页
Asian Case Reports in Surgery
基金
临沂市科技发展计划项目,项目编号:201616016。
关键词
胆总管结石
胆总管探查
蝴蝶结形胆管支架
Common Bile Duct Stones
Common Bile Duct Exploration
Bowknot-Liked Biliary Stent
