胆总管结石；腹腔镜；胆道引流；肝功能____

胆道内置管引流与T管引流对肝功能恢复的影响

http://www.100md.com 《实用医技杂志》 2006年第13期

胆总管结石；腹腔镜；胆道引流；肝功能,,],胆总管结石；腹腔镜；胆道引流；肝功能,1临床资料与方法,2结果,3讨论,参考文献：

     [摘要] 目的：比较腹腔镜胆道探查术后胆道内置管引流与放置T管引流对肝功能恢复的影响。方法：2001年9月至2006年2月共对156例患者施行腹腔镜胆总管切开取石术，其中107例放置胆道内置管引流(内置管引流组)，胆总管一期缝合；其余49例仍放置T管引流(T管引流组)。对两组患者肝功能指标恢复情况进行回顾性分析。结果：胆道内置管引流组及T管引流组术前均有明显肝功能受损，两组间差异无显著性。术后第3天ALT、AST、TBil、DBil等指标两组均有明显改善，术后1月复查肝功能各指标基本恢复正常。两种胆道引流方法对肝功能各指标恢复的影响差异无显著性(P>0.05)。结论：腹腔镜胆总管切开探查放置内置管引流与放置T管引流同样可有效引流胆汁，改善肝功能。

    [关键词] 胆总管结石；腹腔镜；胆道引流；肝功能

    The Influence of Endobiliary Tube Drainage and T Tube Drainage on the Recovery of Liver Function

    ZHONG Liming1, PENG Yi1,ZHOU Hanxin2,et al

    (1.Peking University Shenzhen Hospital，Shenzhen, Guangdong 518036，China；2.Shenzhen People's Hospital, Shenzhen Guangdong 518020, China)

    Abstract：Objective To compare the influence of Endobiliary tube drainage and T tube drainage on the recovery of liver function after laparoscopic common bile duct exploration(LCBDE).Methods 156 cases of LCBDE were performed between September 2001 and February 2006,Among them,LCBDE with endobiliary tube placement and primary CBD closure was performed in 107 patients (Endobiliary Drainage Group,EBD Group), and the other 49 patients were received LCBDE with T-tube drainage (T-tube Drainage Group,TTD Group).The recovery of liver functions were analyzed retrospectively.Results The liver functions were severely damaged before operation both in the EBD group and TTD group with no difference between them (P>0.05).The liver functions were markedly improved on the third post-operative day and almost got normal 1 month after operation.The recovery of the liver function has no significant difference between the two biliary drainage methods.Conclusion The Endobiliary tube drainage and T tube drainage after LCBDE can equally drainage the bile effectively and improved the liver function. ......

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