摘要
目的比较腹腔镜下胆总管切开取石术+胆总管缝合术中不同缝合方式的效果。方法按照随机数字表法将41例胆总管结石患者分为观察组21例和对照组20例,两组患者均接受腹腔镜下胆总管切开取石术治疗,取石后进行胆总管缝合,观察组患者采取微乔线连续缝合,对照组患者采取微乔线间断缝合,比较两组治疗效果。结果观察组患者术中出血量、胆总管缝合时间、肠道功能恢复时间及术后住院时间均显著低于对照组,差异有统计学意义(P<0.05);观察组术后7 d胆总管内压显著低于对照组,差异有统计学意义(P<0.05);两组患者术后胆漏发生率差异无统计学意义。结论微乔线连续缝合可缩短胆总管缝合时间,减少术中出血,缩短术后恢复时间且不会明显增加胆漏发生风险,值得临床推荐。
Objective To compare the effects of different sutures in laparoscopic choledochotomy and choledochal suture.Methods According to the random number table method,41 cases of common bile duct stones were divided into the observation group 21 cases and control group 20 cases,two patients received laparoscopic choledocholithotomy for stone,after the suture of common bile duct,the observation group treated by micro Joe line continuous suture,the control group patients take micro Joe suture,the treatment effects were compared between the two groups.Results The observation group of intraoperative bleeding,bile duct suture time,intestinal function recovery time and postoperative hospital stay were significantly lower than the control group,the difference was statistically significant(P<0.05);the patients in the observation group 7 d common bile duct pressure was significantly lower than the control group,the difference was statistically significant(P<0.05);no statistical significance was found between the two groups of patients with postoperative bile leakage.Conclusion Continuous suture of micro Qiao line can shorten the time of common bile duct suture,reduce intraoperative bleeding,shorten postoperative recovery time,and does not significantly increase the risk of bile leakage,so it is worthy of clinical recommendation.
作者
周开春
曾志祥
张战辉
邹祎章
Zhou Kaichun;Zeng Zhixiang;Zhang Zhanhui;Zou Weizhang(Luxi County People's Hospital of Pingxiang City,Jiangxi Surgery,Pingxiang,Jiangxi,337200,China)
出处
《当代医学》
2018年第13期49-51,共3页
Contemporary Medicine
