胆总管结石腹腔镜胆总管探查术后一期缝合与T管引流的临床比较

被引：63

作者：

潘峥

程张军

刘胜利

郑国灿

刘兴

周家华

机构：

[1] 东南大学附属中大医院肝胆胰中心

来源：

中国普通外科杂志 | 2015年 / 24卷 / 08期

关键词：

胆总管结石; 腹腔镜; 手术后并发症;

D O I：

暂无

中图分类号：

R657.4 [胆囊、胆管];

学科分类号：

100408 [卫生政策与卫生管理学];

摘要：

目的:比较胆总管结石腹腔镜胆总管探查术(LCBDE)后一期缝合与T管引流的临床疗效。方法:回顾分析2012年1月—2014年12月接受LCBDE的142例胆总管结石患者临床资料,其中一期缝合75例,放置T管引流67例,比较两种方式的相关临床指标并分析术后并发症的危险因素。结果:两种手术方式患者间,术前指标除性别有所差异外(P=0.028),其余均无统计学差异(均P>0.05);手术时间、术后并发症发生率、手术死亡率、结石复发率均无统计学差异(均P>0.05),一期缝合患者术后住院时间明显低于放置T管患者(P<0.05)。两种手术方式的主要并发症均为胆瘘,其中一期缝合者发生7例(9.3%),T管引流者发生8例(11.9%);比较胆瘘患者与无胆瘘患者间相关因素,未发现术后胆瘘相关风险因素(均P>0.05)。结论:LCBDE后一期缝合治疗胆总管结石安全有效,其效果与放置T管引流相似且术后住院时间明显缩短。胆瘘的相关风险因素还有赖于大样本的数据资料及前瞻性随机对照研究确定。

引用

页码：1135 / 1139

页数：5

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