摘要
目的 研究鼻胆管代替 T管在胆总管切开后一期缝合中的作用。方法 ERCP后置入鼻胆管行胆道引流 ,手术中行胆总管切开取石后一期缝合胆总管 ,共 2 6例。结果 (1)患者术后住院天数明显减少 (P<0 .0 1)。胆总管切开放置 T管的患者 ,术后至少 2周以上才能拔除 T管 ,有时为了防止胆漏的发生 ,T管放置时间月余。 (2 )由于鼻胆管放置时间较短 ,胆汁的丢失明显减少 ,可防止大量的消化液、电触质及消化酶的损失 (P<0 .0 1) ,不会引起电解质紊乱、消化不良、食欲减退。 (3)鼻胆管术后 3～ 7d就可拔除 ,免除长期带 T管给患者带来的痛苦。 (4 )减少术后并发症 ,特别是拔 T管后的胆汁性腹膜炎。 (5 )节省住院费用。结论 胆总管切开取石后鼻胆管可以代替 T管的作用 ,减少了 T管引起的并发症。
Objective To study the nasobiliary duct instead of T tube in one stage suture after CBD incision and exploration.Method Nasobiliary ducts were placed in 26 aged patients after ERCP,CBD was one stage sutured after incision and exploration.Results (1) Less time in hospital after operation.(2) Less loss of bile,digestive juice,electrolytes and digestive enzyme,no disturbance of electrolytes,dyspepsia or decreased food appetite.(3) no long term T tube distress because the nasobiliary duct is removed 3 to 7 days after operation.(4) Fewer postoperative complications,especially the biliary peritonitis after the removal of T tube. (5) less expense in hospital.Conclusions Nasobiliary duct may instead of T tube in one stage suture after CBD incision and explortion and release postoperative complications of T tube.
出处
《肝胆外科杂志》
2000年第6期432-433,共2页
Journal of Hepatobiliary Surgery
