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胆总管探查、内引流并一期缝合术的疗效分析

李伟   

  1. 河北省沧州市中心医院普外科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-02-25
  • 基金资助:
    河北省沧州市科研课题(编号:1213047ZD),课题名称:胆道探查术后内引流管置入联合胆总管一期缝合的临床研究。

Effect Analysis of Common Bile Duct Exploration,Internal Drainage and Issue of Suture

Li Wei   

  1. General Surgery,Hebei Cangzhou City Central Hospital
  • Received:1900-01-01 Revised:1900-01-01 Online:2016-02-25

摘要: 目的:研究并分析胆总管探查、内引流并一期缝合术的疗效。方法:选取460例从2006~2012年收治于我院的胆总管结石患者,将患者随机分为两组:观察组(224例)实施胆总管探查、内引流并一期缝合术,对照组(236例)实施传统胆道探查、T型管引流术,术后对所有患者定期随访。记录、比较所有患者的治疗效果、术后恢复情况、并发症发生情况。结果:两组手术时间、术中出血量、手术成功率、并发症相差不大,差异不具有统计学意义(P>0.05);观察组的住院时间、手术费用、术后修养时间均少于对照组,差异具有统计学意义(P<0.05)。结论:胆总管探查、内引流并一期缝合术可以达到传统治疗的疗效,并提高患者术后恢复能力,减轻患者经济压力。

Abstract: Objective: To study and analyze the common bile duct exploration,the curative effect of internal drainage and issue of suture.Methods:Choose 460 cases from 2006 to 2006 treated in our hospital patients with common bile duct calculi,patients were randomly divided into two groups:observation group(224 cases),the implementation of common bile duct exploration,internal drainage and issue of suture,controlled way(236 cases) to implement the traditional bile duct exploration and T tube drainage,regular follow-up for all patients after surgery.Records,and compare the curative effect of all of the patients,postoperative recovery and complications.Results:Two groups of operation time,intraoperative blood loss,surgical success rate and complications were similar,no statistically significant difference(P>0.05); Observation group hospitalization time,surgery,postoperative training time is less than the control group,difference has statistical significance(P<0.05).Conclusion:Common bile duct exploration,drainage and issue of suture technique can achieve the curative effect of traditional treatment,and improve the ability of patients with postoperative recovery,patients to reduce the economic pressure,and is worth promoting.