摘要目的 探讨胆总管切开探查胆道内置引流管、胆总管一期缝合的临床应用可行性、安全性和有效性.方法 20例患者放置胆道内置管引流、胆总管一期缝合,并与同期20例放置T管引流的临床资料进行对照.结果 两组平均恢复时间分别为(9.2±1.3)d、(15.2±3.6)d(P<0.01);住院费用分别为(3 252±312)元、(4 116±388)元(P<0.01).结论 胆总管切开探查后放置胆道内置管引流、胆总管一期缝合是一种安全、有效、可行的胆道引流方法.

abstractsObjective To investigate the salty, efficacy and feasiblify on eholedochotomy with endobiliary drainage and prumary closure of the common bile duct. Methods There were 20 partients without introhepatic or re-tained stones and biliary stricture underwent common bile duet exploration. 20 of them with endobiliary tube drainage and primary CBD closure and the other 20 patients with T tube drainage. Results The average of the time to return routine home was (9. 2 ±1. 3)d, (15. 2 ± 3.6) d(P < 0. 01). The hospital expense of postoperation was (3 252± 312)Yuan,(4 116±388)Yuan(P<0.01). Conclusion Choledochotomy with endobiliary catheter and primary closure of CBD is a safe, effective and feasible procedure for the management of choledochohthiasis.