[1]李 涛,高 平,张 雄,等.胆道探查术中行双管探查的临床意义[J].陕西医学杂志,2020,49(9):1142-1144,1148.[doi:DOI:10.3969/j.issn.1000-7377.2020.09.022]
　LI Tao,GAO Ping,ZHANG Xiong,et al.Clinical significance of double-tube exploration in biliary tract exploration[J].,2020,49(9):1142-1144,1148.[doi:DOI:10.3969/j.issn.1000-7377.2020.09.022]
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胆道探查术中行双管探查的临床意义
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年9期
页码:
1142-1144,1148
栏目:
临床研究
出版日期:
2020-09-01

文章信息/Info

Title:
Clinical significance of double-tube exploration in biliary tract exploration
作者:
李 涛; 高 平; 张 雄; 李 胜; 杨 刚; 张 鑫; 郝琪伟△; 乔培宇
陕西省榆林市第二医院普通外科二病区(榆林 719000)
Author(s):
LI Tao; GAO Ping; ZHANG Xiong; et al.
Department of General Surgery,Yulin Second Hospital,Shaanxi Province(Yulin 719000)
关键词:
胆囊管结石;  胆总管结石;  胆道探查;  胆囊管探查
Keywords:
Cystic duct stones;  Choledocholithiasis;  Biliary tract exploration;  Cystic duct exploration
分类号:
R657.4
DOI:
DOI:10.3969/j.issn.1000-7377.2020.09.022
文献标志码:
A
摘要:
目的:探讨胆道探查术中行双管探查(胆囊管、胆总管)的临床意义。方法:收集胆囊多发小结石伴肝外胆管结石病例450例,根据不同手术方式分为A组(220例)和B组(230例)。A组行胆囊切除+胆总管切开取石术,B组行胆囊切除+胆总管切开取石+胆囊管探查术。对比两组术中及术后情况。结果:与A组相比,B组术中明确胆囊管结石例数较多,术后结石复发或残留例数较少,差异均具有统计学意义(均P<0.05)。结论:对于胆囊多发小结石合并肝外胆管结石,常规行双管探查可有效避免胆道术后继发结石或残留结石。
Abstract:
Objective:To explore the clinical significance of double-tube exploration(cholecystoduct and common bile duct)in biliary exploration.Methods:450 cases of multiple small gallbladder stones with extrahepatic bile duct stones were collected and divided into group A(220 cases)and group B(230 cases)according to different surgical methods.Group A underwent cholecystectomy + common bile duct incision and stone removal,and group B underwent cholecystectomy + common bile duct incision and stone removal + cystic duct exploration.The intraoperative and postoperative conditions of the two groups were compared.Results:Compared with group A,there were more cases of clear cystic duct stones during operation,and fewer cases of recurrence or residual stones in group B after operation.The differences were statistically significant(all P<0.05).Conclusion:For those with multiple small gallstones combined with extrahepatic bile duct stones,double-tube exploration can effectively avoid secondary stones or residual stones after operation.

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更新日期/Last Update: 2020-09-02