【摘要】 目的:为提高肝胆管结石病人术后,纤维胆道镜取净胆道残留结石率,探讨对T管引流技术的要求和改进。方法:通过507例T管引流术后,常规造影摄片、纤维胆道镜检查、取石对比,对T管引流放置的位置、型号,纤维胆道镜检查术后,T管的重置方法、要求,T管引流的并发症及处理、T管引流的护理加以讨论。结果:术中T管窦道损伤3例,窦道炎症、出血4例,T管脱落中途停止取石6例,T管窦道十二指肠瘘2例。诱发急性胰腺炎2例。结论:T管引流虽是一个最常用的基本操作技术,但随着纤维胆道镜的普遍应用,必须提出新的理论、新的要求和改进。更多还原

【Abstract】 Objective To improve the rate of taking away residual bile duct stones by Choledochofiberscope postoperatively and to explore the T-tube drainage requirements and the way to improve its technology. Methods 507 cases of postoperative T-tube drainage, conventional angiography X-ray film, and Choledochofiberscope inspection, stones contrast, the T-tube drainage’s location and models were analyzed. After Choledochofiberscope inspection, the T-tube replacement methods and requirements, and T-tube drainage and treatment of complications, T-tube drainage’s nursing care were discussed. Results T-tube sinus injury in the three cases, sinus inflammation, hemorrhage four cases, stopping taking stones because of T-tube shedding six cases, T-tube sinus fistula two cases. Two cases of acute pancreatitis were induced. Conclusion Although the T-tube drainage is the basic one of the most commonly used technique, but with Choledochofiberscope universal application, we must put forward a new theory, new requirements and improvement.更多还原