摘要
目的探讨胆囊肝总管吻合术中带侧孔T管的应用价值。方法回顾性分析2009年7月至2012年7月期间笔者所在医院60例胆囊肝总管吻合术患者的临床资料，比较常规T管与带侧孔T管患者术后的胆囊大小、收缩功能及黏膜恢复情况。结果24例胆囊肝总管吻合术中使用常规T管，术后6-8周行经T管胆道造影，见胆囊均不显影，17例胆囊黏膜色泽正常，无明显水肿；6例胆囊黏膜充血水肿；1例胆囊正常黏膜结构消失。36例使用带侧孔T管，术后6-8周造影见胆囊均显影，胆囊黏膜无水肿、糜烂，胆囊收缩功能均正常。结论胆囊肝总管成形术中使用带侧孔T管，术后胆囊内絮状物、血凝块及炎症物质可通过T管排泄入肠道或引流出体外，胆汁可经T管进入胆囊内进行浓缩。使用带侧孔T管术后即可恢复胆汁的生理流向，从而能促进胆囊功能的早期恢复。
Objective To discuss the clinical effects ofT-tube with side holes in the gallbladder-common hepatic duct anastomosis. Methods The clinical data of 60 cases that performed gallbladder-common hepatic duct anastomosis from Jul. 2009 to Jul. 2012 were retrospectively analyzed. The contractile functions and mucosal recovery of gallbladder were compared between the conventional T-tube and T-tube with side holes. Results Twenty-four cases of gallbladder- common hepatic duct anastomosis used conventional T-tube, the gallbladder were not developing in 6-8 weeks after operation by T-tube cholangiography, the gallbladder mucosa of 17 cases were normal without edema, congestion and edema were observed in 6 cases, and the normal gallbladder mucosa structure disappeared in 1 case. The gallbladder were developing in 6-8 weeks after operation by T-tube cholangiography in 36 cases that used T-tube with side holes, the gallbladder mucosa structure had not congestion, edema, and erosion. The gallbladder contractile function were normal. Conclusions The floc, blood clots, and inflammatory substances in gallbladder can be discharged into the intestine or drainage in vitro, and the bile can go into gallbladder and can be concentrated through the T-tube with side holes. Physiological flow of bile can return to normal and the function of gallbladder can recover early.
出处
《中国普外基础与临床杂志》
CAS
2014年第3期341-344,共4页
Chinese Journal of Bases and Clinics In General Surgery
关键词
胆囊肝总管吻合术
成形术
肝胆管结石
T管
侧孔
Gallbladder-common hepatic duct anastomosis
Angioplasty
Hepatolithus
T-tube
Side hole
