腹腔镜胆总管探查后胆总管切口的处理术式对比分析

摘要

Objective :To investigate the bile duct incision approach with Laparoscopic in common bile duct exploration.Methods :140 cases patients with laparoscopic in common bile duct exploration,were randomly divided into comparable the two groups.The control group(n=61)was orders placed T-tube drainage,the observation group(n=79) were given a suture.To statistics and compare of operation time,ambulation time,hospitalization time,complication rate and satisfaction.Results :The patients,operative time of observation group was slightly longer than the control group,and there was no statistical significance(P>0.05).About 54.43% in observation group within 12 h after ambulation was significantly higher than control group ;The patients,hospitalization time was significantly shorter than the control group ;about 17.72% in observed patients with postoperative complications was significantly less than the the control group ;satisfaction with treatment(92.41%) was significantly higher than the control group(80.33%)and there was statistical significance(P<0.05).Conclusion :Strictly adhere the appropriate indications and contraindications of one stage suture after common bile duct incision and exploration.The useful ways to deal with common bile duct incision is safe and effective,in line with the interests of patients.%　　目的：探讨腹腔镜胆总管探查后胆总管切口的处理方式.方法：选取140例腹腔镜胆总管探查患者,随机分为两组.对照组(n=61)给予常规放置 T 管引流,观察组(n=79)给予一期缝合.对两组患者手术时间、开始下床活动时间、住院时间、并发症发生情况及治疗满意度进行比较.结果：观察组患者手术时间为(131.74±33.56)min,略长于对照组,差异无统计学意义(P>0.05).观察组有54.43%的患者于术后12 h 内开始下床活动,明显高于对照组的44.26%；观察组住院时间为(5.73±0.64)d,明显短于对照组；观察组有17.72%的患者发生术后并发症,明显少于对照组的45.90%；观察组患者治疗满意度为92.41%,明显高于对照组80.33%,差异有统计学意义(P<0.05).结论：只要严格掌握胆总管切口一期缝合的适应证和禁忌证,使用该种方式处理胆总管切口,安全有效,符合患者的利益.