摘要
目的 比较腹腔镜胆总管切开取石术后行一期缝合胆管与留置T管的效果.方法 将在我院行腹腔镜胆总管切开取石术的42例患者随机分为观察组(一期缝合胆管)和对照组(留置T管),各21例.比较两组患者治疗效果.结果 术后7 d,两组患者的AST、TBIL水平均明显降低(P<0.05);术后7 d,两组患者的Na+水平均降低,但观察组高于对照组(P<0.05).观察组患者的手术时间、术后住院时间、肛门排气时间短于对照组,术中出血量少于对照组(P<0.05).两组并发症总发生率比较,差异无统计学意义(P>0.05).术后3个月,观察组患者的生活质量评分高于对照组(P<0.05).结论 腹腔镜胆总管切开取石术后行一期缝合的效果显著,但应注意把握一期缝合适应证.
Objective To compare the effects of primary suture of bile duct and indwelling T-tube after laparoscopic choledocholithotomy. Methods A total of 42 patients who underwent laparoscopic choledocholithotomy in our hospital were randomly divided into observation group(primary suture of bile duct) and control group(indwelling T-tube), with 21 cases in each group. The treatment effects of the two groups were compared. Results At 7 days after operation, the levels of AST and TBIL in the two groups decreased(P<0.05);at 7 days after operation, the levels of Na+in the two groups decreased, but that in the observation group was higher than the control group(P<0.05). The operation time, postoperative hospital stay and anal exhaust time of the patients in the observation group were shorter than those in the control group, and the amount of intraoperative bleeding was less than that in the control group(P<0.05). There was no significant difference in total incidence of complications in the two groups(P>0.05). At 3 months after operation, the quality of life score in the observation group was higher than that in the control group(P<0.05). Conclusion The primary suture of bile duct after laparoscopic choledocholithotomy has a significant effect, but attention should be paid to the indication of primary suture.
作者
崔海潮
CUI Hai-chao(Funing People's Hospital,Yancheng 224400,China)
出处
《临床医学研究与实践》
2019年第33期61-62,共2页
Clinical Research and Practice
