摘要
目的:观察在胆囊切除术中采取不同方式处理胆囊床的效果。方法:将2009年3月至2013年3月在我院普外科行开腹胆囊切除术的160例患者随机分为A组、B组、C组、D组(每组各40例患者),在为各组患者切除胆囊后对其进行胆囊床电凝止血处理,为A组采用S-100吸收性止血绫覆盖胆囊床,为B组患者采用医学生物蛋白胶覆盖胆囊床,为C组患者进行胆囊床缝合处理,为D组患者不缝合胆囊床或进行特殊处理,比较4组患者在术后2h、术后12h、术后1d、术后2d腹腔引流液的平均量。结果:A组、B组患者各时间点腹腔引流液的平均量低于C组、D组患者,差异显著,有统计学意义(P<0.05)。A组患者与B组患者各时间点腹腔引流液的平均量经组间比较差异不显著,无统计学意义(P>0.05)。C组患者与D组患者各时间点腹腔引流液的平均量经组间相比较差异不显著,无统计学意义(P>0.05)。结论:在胆囊切除术中处理胆囊床方面,S-100吸收性止血绫是最具优势的外科局部止血材料,其止血效果与医用生物蛋白胶相似,具有可防止创面渗血、促进组织愈合、在患者体内无残留、价格低廉的有点,值得在临床上推广应用。
Objective To observe the clinical effect of different treatments of gallbladder bed in cholecystectomy.Methods Select 160 patients implementation open cholecystectomy in March 2009- March 2013 in our hospital department of general surgery, they were randomly divided into A, B, C, D group of each 40 cases,after cut off the gallbladder and gallbladder bed electric coagulation treatment, A group was treated with S-100 absorbable hemostatic covering the gallbladder bed, B group received medical biological fibrin glue cover the gallbladder bed, C group was given the gallbladder bed suture, D group was not suture for the gallbladder bed,to compare the average abdominal drainage fluid of 4 groups postoperative 2, 12h, and 1,2 day.Results The average abdominal drainage fluid at different time points of A, B group were lower than that of C and D group, the difference was statistically significant(P < 0.05). Compared with A and B group, C and D group, no significant difference(P > 0.05).Conclusion S-100 absorbable hemostatic was the most advantage surgical hemostatic materials, hemostatic effect is similar to medical biological fibrin glue, obviously prevent wound ooze blood,promote tissue healing, and no residue, low price, is worth promoting.
