摘要
目的观察预置鼻胆管引流胆总管切开取石一期缝合后胆总管压力的变化。方法以2006年1月～2007年12月该院进行的18例预置鼻胆管引流胆总管切开取石一期缝合的胆总管结石患者(观察组)为对象,并选择同期10例胆总管切开取石T管引流的10例患者为对照(对照组),分别于术后1～7d三餐前后应用U形管经鼻胆管和T管进行胆管测压。结果观察组术后的胆汁引流量少于对照组,在术后第3、4天有统计学差异(P<0.05);两组患者术后1～7d测得的胆总管平均压之间无明显差别,术后第7天进食造成的胆总管压力变化观察组大于对照组(P<0.05)。结论预置鼻胆管引流胆总管切开取石一期缝合可减少胆汁的外流,且对胆总管压力的影响与T管引流无明显差异,可有效预防胆漏的发生。
[ Objective ] To observe the change of the bile duct pressure after pre-placement of ENBD tube and primary suture of common bile duet. [ Methods ] 18 choledoeholithiasis patients （studied group） admitted to our hospital from Jan 2006 to Dec 2007 and primary suture after the common bile duet （CBD） incision andexploration done, 10 received the traditional T tube drainage choledoeholithiasis patients as control （control group）. The bile duct pressure measured by U shaped tube connected to the ENBD tube or the T tube before and after dining respectively during 1 to 7 days after the operation. [Results] The drained bile of studied group less than the control group, especially at the third and forth days （P 〈0.05）, and mean bihary pressure of each day were no significant different between the two groups （P 〉0.05）, the elevator）, level of the bile duct pressure of studied group caused by dining was higher than the control group at the seventh day post-operation （P 〈0.05）. [ Conclusion] Pre-placement of ENBD tube and primary suture of common bile duct could decrease the bile losed quantity and not change the bile duct pressure compared to the traditional T tube drainage, which could be beneficial to the choledocholithiasis patients possibly.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第21期3293-3295,3298,共4页
China Journal of Modern Medicine
