摘要
目的:探讨双镜联合胆道内支架置入、胆总管一期缝合技术对胆总管结石的疗效。方法:选取腹腔镜胆总管结石手术患者共125例,根据术中引流方式不同,分为两组,观察组36例行腹腔镜胆总管切开、胆道镜探查取石、胆道内支架置入、胆总管一期缝合术,对照组89例行腹腔镜胆总管切开、胆道镜探查取石、T管引流术,对手术相关指标进行观察。结果:观察组在手术时间、住院天数、拔管时间等明显少于对照组,而在术后并发症方面,观察组术后胆漏发生率明显低于对照组(P<0.05)。结论:双镜联合胆道内支架置入、胆总管一期缝合技术应用于治疗胆总管结石是可行的,能有效降低术后并发症发生率,缩短住院时间,具有临床价值。
Objective:To investigate the efficacy of double endoscopic combined with percutaneous transhepatic insertion of biliary stents and one stage suture technique of common bile duct.Methods:125 cases of laparoscopic choledocholithiasis were selected.According to the different drainage methods,the patients were divided into two groups.In the observation group,36 cases were treated by laparoscopic choledochotomy,choledochoscopy,percutaneous transhepatic insertion of biliary stents and one stage suture technique of common bile duct,and89cases in the control group with tube incision,choledochoscopy,drainage and T tube drainage,observed the operative parameters.Results:The operation time,the number of days of hospitalization and the time of extubation of the observation group were significantly less than those in the control group,and the postoperative complication rate of the observation group was significantly lower than that of the control group(P<0.05).Conclusion:It is feasible to treat choledocholithiasis with double endoscopic combined with percutaneous transhepatic insertion of biliary stents and one stage suture technique of common bile duct,it can effectively reduce the incidence of postoperative complications and shorten the time of hospitalization,which has the value of clinical promotion.
作者
李少明
汤万荣
李薇
杨荣彬
LI Shaoming;TANG Wanrong;LI Wei(Department of Hepatobiliary Surgery ,Jiangmen Central Hospital in Guangdong Province,Jiangmen 529000)
出处
《陕西医学杂志》
CAS
2019年第1期13-15,共3页
Shaanxi Medical Journal
基金
广东省江门市医疗卫生领域科技计划项目(20150020002677)
关键词
胆总管结石
腹腔镜
胆道镜
胆总管一期缝合技术
胆道内支架置入
外科学
Common bile dact stones
Laparoscopic
Choledochoscopic
One stage suture technique of common bile duct
Percutaneous transhepatic insertion of biliary stents
Choledocholithiasis
Surgery
