腹腔镜胆道探查术胆管一期缝合与T管引流的疗效分析

目的：对腹腔镜弹道探查术胆管一期缝合与T管引流的疗效进行分析。方法：对90例患者进行观察随访，其中一期缝合组45人，T管引流组45人，术后对其手术时间、肛门排气时间、腹腔引流时间、术后平均输液量、术后住院时间、住院费用、术后恢复正常生活时间进行统计分析。结果：一期缝合组除手术时间和腹腔引流时间，其他的各项观察指标以及术后并发症均优于T管引流组。结论：腹腔镜胆道探查术胆管一期缝合的疗效比T管引流的疗效较好，术后并发症也少，但是对于不适合做一期缝合而适合T管引流的患者还是应给予T管引流术。

Laparoscopic Bile Duct Exploration Technique Bile Duct a Stage Suture and T Tube Drainage the Curative Effect Analysis

Objective： To laparoscopic ballistic probe technique bile duct a stage suture and T tube drainage the curative effect analysis. Methods： 90 patients were observed and follow-up, one stage suture group of 45 people, T tube drainage group of 45 people, the operative time, postoperative anal exhaust time, abdominal cavity drainage time, postoperative average infusion quantity, length of hospital stay, postoperative hospitalization expenses, postoperative recover normal life time for statistical analysis. Results： A period suture group in addition to surgery time and abdominal cavity drainage time, other various observation index and postoperative complications are superior to that of T tube drainage group. Conclusion： Laparoscopic bile duct exploration technique bile duct suture a period of efficacy than T tube drainage the curative effect is good, the postoperative complications are also few, but to not suitable for a period suture and suitable for T tube draina~,e t~fr~nti~nt 1~^..1.~ ~：