【摘要】 目的探讨在胆总管切开术中一期缝合的可行性及治疗效果。方法选择性对 5 4例术前经过B超、CT检查 ,并且术中经过胆道镜探查和B超检查明确无肝内胆管结石 ,胆总管无残留结石 ,胆道镜及 8号以上胆道探条能顺利通过奥狄氏括约肌 ;胆总管内径大于 8mm ;胆汁清 ,胆管壁炎症轻的胆总管结石患者行胆总管一期缝合。结果5 4例中术后发生胆漏 2例 ,黄疸 2例 ,经对症处理后治愈 ,术后住院 5～ 12d。结论在胆总管切开取石探查术中选择性应用胆总管一期缝合 ,可缩短住院时间 ,减少病人痛苦。更多还原

【Abstract】 ObjectivesTo explore the feasibility and efficacy of primary suture after choledochotomy for stone removal and exploration.Methods Fifty-four cases of choledocholith were chosen for primary suture after choledocholithotomy.The selective criteria were:①No intrahepatic biliary calculi by preoperative CT,B-ultrasonography(B-US) and intraoperative B-US or choledochoscopy ;②No residual choledocholith;③Choledochoscope and choledochal sound larger than F8 could pass Odd’s sphincter;④slight inflammation on the wall of common bile duct(inner diameter >8 mm) with clear bile secretion.ResultsAmong 54 patients, there were 2 cases of bile leakage and 2 cases of jaundice. All of them recovered after conservative treatment.ConclusionConclusion: Selective primary suture after choledocholithotomy may shorten the duration of hospital stay and relieve pain of the patients.更多还原