摘要
目的探讨一期缝合与T管引流在腹腔镜下经胆道镜胆总管切开取石术患者中的应用效果。方法选取2020年7月至2021年10月于医院接受腹腔镜下经胆道镜胆总管切开取石术的50例胆总管结石患者为研究对象,随机分为试验组(30例)与对照组(20例)。手术过程中,试验组给予一期缝合,对照组给予T管引流,比较两组术后并发症发生情况、手术相关指标、生命质量[采用SF-36简明健康状况量表(SF-36)评估]及术后疼痛程度。结果试验组术后并发症发生率低于对照组,差异有统计学意义(P<0.05);两组术中出血量、手术时间、术后引流管拔除时间比较,差异无统计学意义(P>0.05);试验组术后排气时间及住院时间均短于对照组,差异有统计学意义(P<0.05);试验组术后生理机能、生理职能、躯体疼痛、精神健康及总体健康评分均高于对照组,差异有统计学意义(P<0.05);两组术后疼痛程度比较,差异无统计学意义(P>0.05)。结论与T管引流相比,一期缝合在腹腔镜下经胆道镜胆总管切开取石术患者中的应用效果更佳,可显著降低患者术后并发症发生率,缩短术后排气时间及住院时间,改善其生命质量。
Objective To investigate the application effect of one-stage suture and T-tube drainage in laparoscopic choledochotomy and choledochotomy.Methods Fifty patients with choledocholithiasis who received laparoscopic choledochoscope choledochotomy in People’s Hospital of Tangtu County,Anhui Province from July 2020 to October 2021 were selected as the study objects,and were randomly divided into experimental group(30 cases)and control group(20 cases).During the operation,the experimental group was given one-stage suture,and the control group was given T-tube drainage.The incidence of postoperative complications,operationrelated indexes,quality of life[assessed by SF-36 Concise Health Status Scale(SF-36)]and postoperative pain degree were compared between the two groups.Results The incidence of postoperative complications in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss,operative time and postoperative drainage tube removal time between the two groups(P>0.05).Postoperative exhaust time and hospitalization time of experimental group were shorter than those of control group,the difference was statistically significant(P<0.05).The scores of physiological function,physiological function,physical pain,mental health and overall health of experimental group were higher than those of control group,and the differences were statistically significant(P<0.05).There was no significant difference in postoperative pain degree between the two groups(P>0.05).Conclusion Compared with T tube drainage,the application of one-stage suture in laparoscopic choledochotomy and choledochotomy is more effective,which can significantly reduce the incidence of postop-erative complications,shorten the postoperative exhaust time and hospital stay of patients,and im-prove their quality of life.
作者
郭强
Guo Qiang(Department of General Surgery,Dangtu County People's Hospital,Dangtu Anhui 243100,China)
出处
《医疗装备》
2023年第3期70-73,共4页
Medical Equipment
