摘要
目的探讨单向倒刺线应用于腹腔镜胆总管切开探查术后一期缝合中的效果.方法选取2016年6月至2019年6月在我院进行腹腔镜胆总管切开探查一期缝合术治疗的86例患者为研究对象,根据术中缝合线不同将其分为研究组(43例,单向倒刺线缝合)和对照组(43例,普通可吸收线缝合).比较两组患者的胆总管缝合时间、术中出血量、住院时间、术后24 h疼痛评分及术后并发症发生情况.结果研究组患者的胆总管缝合时间明显短于对照组(P<0.05).两组患者的术中出血量、住院时间、术后24 h疼痛评分比较,差异均无统计学意义(P>0.05).研究组患者中,有1例(2.33%)出现胆漏,1例(2.33%)出现切口感染;对照组患者中,有2例(4.66%)出现胆漏,2例(4.66%)出现切口感染,1例(2.33%)出现急性胰腺炎,两组患者的术后并发症总发生率比较,差异无统计学意义(P>0.05).结论单向倒刺线应用在腹腔镜胆总管探查术后一期缝合中可缩短胆总管缝合时间,且不会增加术后并发症发生率,值得临床推广应用.
Objective To analyze the effect of one-way barbed suture in primary suture after laparoscopic common bile duct exploration. Methods A total of 86 patients treated with primary suture after laparoscopic common bile duct exploration in our hospital from June 2016 to June 2019 were selected as the study objects, and the patients were divided into study group(43 cases, one-way barbed suture) and control group(43 cases, ordinary absorbable suture) according to the different sutures during surgery. The suture time of common bile duct, intraoperative hemorrhage, hospitalization time,pain score at 24 h after surgery and postoperative complications were compared between the two groups. Results The suture time of common bile duct in the study group was significantly shorter than that in the control group(P<0.05). There were no significant differences between the two groups in the intraoperative hemorrhage, hospitalization time and pain score at 24 h after surgery(P>0.05). In the study group, 1 case(2.33%) had bile leakage, 1 case(2.33%) had incision infection;in the control group, 2 cases(4.66%) had bile leakage, 2 cases(4.66%) had incision infection, 1 case(2.33%) had acute pancreatitis, there was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05). Conclusion The one-way barbed suture applied in primary suture after laparoscopic common bile duct exploration can shorten the suture time of common bile duct, and it will not increase the incidence of postoperative complications, which is worthy of further promotion and application.
作者
张君
高怀军
党杰
ZHANG Jun;GAO Huai-jun;DANG Jie(General Surgery Department,Traditional Chinese Medicine Hospital of Yulin City,Yulin 719000,China;Thoracic Surgery Department,Traditional Chinese Medicine Hospital of Yulin City,Yulin 719000,China)
出处
《临床医学研究与实践》
2019年第33期57-58,70,共3页
Clinical Research and Practice
关键词
单向倒刺线
腹腔镜胆总管切开探查术
一期缝合
one-way barbed suture
laparoscopic common bile duct exploration
primary suture
