摘要
目的探讨胆总管切开探查术后采用补贴法Ⅰ期闭合胆管的临床效果。方法胆总管切开取石,用可吸收缝线连续缝合后,取胆囊浆肌层薄片或腹膜,借用医用吻合胶粘贴于缝合处。结果本组20例无胆漏、胆道感染和腹腔感染等并发症,术后平均住院7.35 d,随访3个月到12个月,无胆管狭窄、结石复发等并发症。结论胆总管探查后,可选择性Ⅰ期缝合胆总管。如果加用胆囊浆肌层薄片或腹膜补贴更安全可行。术后可避免带T管引流胆汁所造成的不便和痛苦,以及胆汁丢失引起的水电解质失衡和消化功能紊乱。具有恢复快、并发症少、住院时间短、医疗费用低等优点。
Objective To investigate the clinical results of prime suture with paste technique after common bile duct exploration. Methods After common bile duct exploration and the extraction of bile duct stones with continuous suture with absorbable thread, select slices of gallbladder seromuscular layer or peritoneal to the suture site with medical OB glue. Results No complications such as bile leakage, biliary tract infection and intraabdominal infection occurred in the 20 cases of this group. Mean postoperative hospitalization time was 7. 35 days. All cases were followed up from 3 to 12 months without complications such as bile duct stricture and recurrence of hepatolithiasis. Conclusions After common bile duct exploration, primary suture can be selectively used. It is more safe and feasible to suture with seromuscular layer slices of gallbladder or peritoneal. This method can avoid inconvenience and pain caused by T tube drainage and disorder of digestive function and water-electrolyte imbalance led by bile lose. So it has the advantages of guick recovery, less complications, shorter hospital stay and low cost.
出处
《肝胆外科杂志》
2006年第5期356-357,共2页
Journal of Hepatobiliary Surgery
关键词
胆总管切开
Ⅰ期缝合
补贴法
choledochotomy
primary suture
paste technique
