【摘要】 目的探讨胆道T管引流术早期拔管的可行性和腹腔粘连的预防。方法自2003年2月至2010年6月,对67例胆道手术患者采取经肝圆韧带内走行T管引流,避免了T管周围组织粘连形成窦道的过程,消除人为的腹腔粘连,并改变常规拔管时间,施行早期拔管。结果 67例患者中术后8d拔管22例,11d拔管16例,无胆瘘发生,早期拔管占手术例数的56.7%(38/67),随访62例患者,最长随访时间7年,无腹腔粘连症状。结论经肝圆韧带内走行胆道T管引流,在避免拔管后胆瘘的基础上提前了常规的拔管时间,缩短了疗程,有效避免了术后腹腔粘连,减小了再次手术难度。更多还原

【Abstract】 Objective To investigate the feasibility of pristine extubation by biliary T-tube drainage and the prevention of abdominal cavity conglutination.Methods From February 2003 to June 2010,67 patients underwent operation on biliary tract T-tube draining trans-ligament teres hepatis,avoiding the process of the tissue around the T-tube conglutination to form the sinus tract and eliminate anthropogenic abdominal cavity conglutination,and also change the conventional extubation time to perform pristine extubation.Results In the 67 patients,22 were extubated for 8 days and 16 for 11 days after operation;and no biliary fistula appeared.Thirty-eight patients(56.7%) underwent pristine extubation(38/67).No symptoms of abdominal cavity conglutination appeared during the follow-up in 62 patients.The longest follow-up period was 7 years.Conclusions The method of drainage reduced the conventional extubation time by avoiding biliary fistula after extubation and shortening the course of treatment.This method also effectively eliminated abdominal cavity conglutination after operation and avoided reoperation by biliary T-tube drainage through ligamentum teres hepatis.更多还原