目的评价胆总管一期缝合在胆总管切开探查术中的合理应用及价值。
Objective To determine the value and reasonable application of bile duct (BD) in primary suture of the BD wound after common BD exploration.
方法回顾性分析553例急诊胆总管切开探查术中并发胆总管末端狭窄37例的临床资料。
Methods a retrospective analysis was performed on 553 cases of ACST operations with37 cases of choledochal strictured end.
方法：选择胆总管切开探查T管引流术病人。
Methods patients with choledochotomy and T-tube drainage were selected in the study.
方法：为12例患者行腹腔镜胆总管切开探查取石术(LCBDE)。
Methods: 12 patients were done laparoscope choledocholithotomy with exploration (LCBDE).
结论：在严格掌握手术适应证的情况下，腹腔镜胆总管切开探查后一期缝合术较T管引流术疗效更好。
Conclusions: If the indication of primary suture was strictly mastered, the clinical effect of primary suture was better than T-tube drainage after laparoscopic common bile duct exploration.
结论：在严格掌握手术适应证的情况下，腹腔镜胆总管切开探查后一期缝合术较T管引流术疗效更好。
Conclusions: If the indication of primary suture was strictly mastered, the clinical effect of primary suture was better than T-tube drainage after laparoscopic common bile duct exploration.
应用推荐