胆总管切开探查术____

胆总管探查术后一期缝合32例临床分析

http://www.100md.com 《实用医技杂志》 2006年第11期

胆总管切开探查术,,],胆总管切开探查术；一期胆总管缝合术；临床分析,[摘要],[关键词],Keywords：,1临床资料,2结果,3讨论,参考文献：

     [摘要] 目的：探讨胆总管切开探查胆管一期缝合的方法和效果。方法：对32例患者行胆道探查，取尽结石或蛔虫，检查胆总管下段通畅，经胆囊管胆道造影后一期缝合胆管。结果：26例胆总管结石，1例胆道蛔虫，5例探查结果阴性。全部一期缝合，术中胆道造影肝内外胆管无异常。术后4例少量漏胆，进行保守治疗，全组术后9 d~12 d治愈出院。结论：肝外胆管结石、蛔虫已取尽，术中胆道造影证实肝内外胆管无异常，胆总管切开探查后胆管一期缝合安全、有效。

    [关键词] 胆总管切开探查术；一期胆总管缝合术；临床分析

    Clinical Evaluation of Bileduct Exploration with Onestage Suture for 32 Patients

    ZHANG Ruitao，WANG Shuangquan

    (General surgery,XD Group's Hospital Xi'an,Shannxi 710077,China)

    Abstract：Objective To evaluate clinical effection of bileduct exploration with onestage suture.Methods In choledochotomy of 32 cases,make sure it is unabstructed after cleaning all the stones and ascaricls,then it is sewed up primarily and conformed by cholangiongraphy.Results 32 cases were primarily sewed up after all the stone and ascarids were cleaned,conformed by cholangiongraphy that there is nothing abnormal in operation.4 case which leaked bile after operation received conservative therapy and all cases were healed 9 days~12 days later.Conclusion To select operative indication strictle and operating precisely,common bileduct exploration with primary sture would be safe and feasible. ......

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