摘要
目的 :探讨胆总管切开纤维胆道镜探查后胆总管一期缝合的治疗效果。方法 :应用纤维胆道镜探查胆总管后 ,选择探查阴性、取石干净、括约肌功能良好及胆总管内无其他病变的病例 6 95例 (6 95 / 1 4 5 6 ,4 7.7% )行一期缝合胆总管。结果 :仅有 2例少量胆漏 ,经负压引流自愈 ,没有发生严重并发症。 36h后胃肠功能恢复 6 2 4例 ,有 6 4 2例术后第 2天能下床活动 ,开始进食 ,平均术后 6d出院。结论 :纤维胆道镜胆总管探查后 ,只要掌握好适应证 ,胆总管一期缝合是可行的。它可避免放置T管引起的并发症 ,减轻病人的痛苦 ,提高生活质量。该术式具有创伤小、痛苦轻、恢复快、并发症少且费用低等优点 。
Objective:To study the value of the primary suture of the incision on common bile duct without T tube drainage after fiber cholangioscopy.Methods:After CBD exploration with fiber cholangioscope,the incision of CBD was closured with primary suture in 695 cases(695/1456,47.7%) without retained stone,Oddi's sphincter functional disturbance,and other diseases in CBD.Results:Only 2 cases suffered from slight bile leakage and were spontaneously cured after negative pressure drainage,but without severe complication. The gastrointestinal function of 624 cases restored in 36 hours. 642 patients could get off the bed and eat after the second operative day. Most of them left hospital in the sixth postoperative day.Conclusion:Primary suture on the incision of CBD is reasonable and feasible in patients selected properly. It can avoid the complication of indwelling T tube,decrease patients' pain and improve life quality. This method appears to be less traumatic procedure,less pain and to accelerate postoperative recovery.
出处
《肝胆胰外科杂志》
CAS
2004年第2期110-111,共2页
Journal of Hepatopancreatobiliary Surgery
关键词
纤维胆道镜
胆总管结石
外科手术
缝合
fiber cholangioscope
common bile duct stone
surgical,operative
suture
