ObjectiveTo compare and evaluate the effect and quality of T-tube drainage and bulit-in-tube drainage plus primary suture after laparoscopic cholecystectomy (LC). MethodsA clinical trial was taken in 79 cases with T-tube drainage (control group) and 62 cases with built-in-tube drainage (observation group). The treatment success rate, incidence of complications, bilirubin recovered time, length of stay, recuperation time, and treatment cost were measured and compared between the two groups. ResultsThere were no statistically significant differences between the two groups in treatment success rate, incidences of complications, and bilirubin recovered time of patients （Pgt;0.05）, while length of stay, recuperation time, and treatment cost of patients in observation group were significantly less than those in control group （Plt;0.05）. ConclusionsBuilt-in-tube drainage plus primary suture after LC and common bile duct exploration could achieve the same therapeutic effect as the traditional T-tube drainage with less length of stay, recuperation time, and treatment cost.
目的 系統闡述腹繭癥的發病機理、臨床表現和診治進展。方法 報道腹腔鏡膽囊切除術中意外遭遇腹繭癥1例，并進行文獻綜述。 結果 該例患者在腹腔鏡下完成膽囊切除并切除膜狀組織，術后病理診斷為纖維結締組織增生伴慢性炎癥反應，術后患者恢復順利。結論 腹繭癥的癥狀、體征及輔助檢查均無特異性，較易出現誤診或漏診，而腹腔鏡技術的發展為該疾病的診治提供了新的嘗試。