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中华普外科手术学杂志(电子版) ›› 2023, Vol. 17 ›› Issue (01) : 73 -75. doi: 10.3877/cma.j.issn.1674-3946.2023.01.018

论著

比较腹腔镜胆囊切除联合胆总管探查一期缝合鼻胆管引流与T管引流的临床疗效
向华1,(), 郭宇廷2, 徐毅驰3, 邱明3, 孔琳3, 杨钦喜3, 何丽娜3, 徐本劦3   
  1. 1. 550008 贵阳,贵州省第三人民医院普通外科;550009 贵阳,遵义医科大学附属贵航三〇〇医院普通外科
    2. 550004 贵阳,贵州医科大学附属医院肝胆外科
    3. 550009 贵阳,遵义医科大学附属贵航三〇〇医院普通外科
  • 收稿日期:2021-12-14 出版日期:2023-02-26
  • 通信作者: 向华

To compare the clinical efficacy of laparoscopic cholecystectomy combined with common bile duct exploration(LC+LCBDE)with primary suture nasobiliary drainage and T-tube drainage

Hua Xiang1,(), Yuting Guo2, Yichi Xu3, Ming Qiu3, Lin Kong3, Qinxi Yang3, Lina He3, Benyi Xu3   

  1. 1. Department of General Surgery,Guizhou Provincial Third People’s Hospital,Guiyang Guizhou Province 550008,China;Department of General Surgery,Guihang 300 Hospital Affiliated to Zunyi Medical University,Guiyang Guizhou Province 550009,China
    2. Department of Hepatobiliary Surgery,Affiliated Hospital of Guizhou Medical University,Guiyang Guizhou Province 550004,China
    3. Department of General Surgery,Guihang 300 Hospital Affiliated to Zunyi Medical University,Guiyang Guizhou Province 550009,China
  • Received:2021-12-14 Published:2023-02-26
  • Corresponding author: Hua Xiang
  • Supported by:
    Guiyang Science and Technology Plan Project in 2018(Zhuke Contract(2018)No. 1-61)
引用本文:

向华, 郭宇廷, 徐毅驰, 邱明, 孔琳, 杨钦喜, 何丽娜, 徐本劦. 比较腹腔镜胆囊切除联合胆总管探查一期缝合鼻胆管引流与T管引流的临床疗效[J/OL]. 中华普外科手术学杂志(电子版), 2023, 17(01): 73-75.

Hua Xiang, Yuting Guo, Yichi Xu, Ming Qiu, Lin Kong, Qinxi Yang, Lina He, Benyi Xu. To compare the clinical efficacy of laparoscopic cholecystectomy combined with common bile duct exploration(LC+LCBDE)with primary suture nasobiliary drainage and T-tube drainage[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(01): 73-75.

目的

对比分析腹腔镜胆囊切除联合胆总管探查(LC+LCBDE)一期缝合鼻胆管引流与T管引流的临床疗效。

方法

纳入2018年1月至2019年9月胆石症患者160例,采取随机数字表法对患者进行分组,其中鼻管组(n=80)患者实施LC+LCBDE一期缝合后给予鼻胆管引流,T管组(n=80)则实施以LC+LCBDE一期缝合后给予T管引流。数据使用SPSS 20.0软件分析,围手术期各项指标等计量资料以(

xˉ
±s)表示,组间进行独立t检验;术后并发症与带管出院率等计数指标用%表示,组间进行χ2检验。P<0.05为差异有统计学意义。

结果

两组患者均手术成功,鼻管组患者术后不同时间引流量均少于T管组,且术后排气时间、引流管拔除时间、住院时间均短于T管组(P<0.05)。鼻管组患者术后并发症发生率(3.8%)低于T管组(13.8%),且带管出院率(5.0%)低于T管组(97.5%),差异有统计学意义(P<0.05)。

结论

LC+LCBDE一期缝合患者以鼻胆管引流的方式,术后引流量少且留置时间短,胃肠道功能恢复快,住院时间短,带管出院率低,术后并发症发生率低,效果理想。

Objective

To compare the clinical efficacy of laparoscopic cholecystectomy combined with common bile duct exploration(LC+LCBDE)with primary suture nasobiliary drainage and T-tube drainage.

Methods

A total of 160 patients with cholelithiasis from January 2018 to September 2019 were enrolled and divided into two groups by random number table method. Among them,80 patients in nasal tube group were given nasobiliary drainage after primary suture of LC+LCBDE,while 80 patients in T-tube group were given T tube drainage after primary suture of LC+LCBDE. The data were analyzed by SPSS 20.0 software. The perioperative indicators and other measurement data were expressed as(

xˉ
±s),and independent t test was performed between groups. Postoperative complications and discharge rate with tube were expressed as %,and χ2 test was performed between groups. P<0.05 was considered statistically significant.

Results

The operation was successful in both groups. The drainage volume in nasal tube group was less than that in T-tube group at different times after operation,and the postoperative exhaust time,drainage tube removal time and hospital stay were shorter than those in T-tube group(P<0.05). The incidence of postoperative complications in the nasal tube group(3.8%)was lower than that in the T-tube group(13.8%),and the discharge rate with tube(5.0%)was lower than that in the T-tube group(97.5%),and the differences were statistically significant(P<0.05).

Conclusion

For patients with LC+LCBDE primary suture,nasobiliary drainage has less postoperative drainage volume,short indwelling time,fast recovery of gastrointestinal function,short hospital stay,low discharge rate with tube,low incidence of postoperative complications,and ideal effect.

表1 160例胆石症不同手术方式两组患者一般资料比较[(
xˉ
±s),例]
表2 160例胆石症不同手术方式两组患者围手术期各项指标比较[(
xˉ
±s),例]
表3 160例胆石症不同手术方式两组术后并发症与带管出院情况比较[例(%)]
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