Abstract: 【Abstract】〓Objective〓To investigate the effect of a modified three-cavity drainage T-tube on clinical application following bile duct exploration. Methods〓Thirty-three patients with intra-and extra-hepatic bile duct stones underwent open surgical treatment through common duct exploration and removal of biliary stones. Biliary flushing and T-tube imaging were done by using a modified three-cavity T-tube after operation. Results〓All the postoperative courses were uneventful, no bile leakage, cholangitis occurred in the patients. Of 33 cases, Biliary bleeding were controlled completely in 6 cases by postoperative T-tube flushing for 1-3 days. The retained calculus were discovered in 4 cases by T-tube imaging in 5-7 days after operation, and cured using choledochoscopes to remove all the retained calculus. The average length of hospital stay was 7.5 days after surgery. All cases were followed up for 4-42 months. B-ultrasonography, abdominal CT and magnetic resonance cholangiopancreatography found no Bile duct stones recurrent or common bile duct stricture. Conclusion〓The application of the modified T-tube showed good clinical effect in patients underdone common duct exploration.

Key words: Three-cavity T-tube, Bile duct exploration, Bile duct stones, Modified

摘要： 【摘要】 目的 介绍一种改进型三腔引流T管及在胆道探查手术中的应用。方法〓33例肝内外胆管结石病人行胆道探查取石、改进型三腔T管引流术,术后经三腔T管冲洗和造影,评价其效果。结果〓全组33例术后恢复顺利,无胆漏、胆管炎等并发症,术后平均住院时间为7.5天。其中伴胆道出血者6例,自内支架管冲洗1~3天后控制出血;4例术后5~7天经三腔T管造影发现残留结石,再次以胆道镜成功取净取石。33例患者均获得随访4~42月,B超、上腹部CT及MRCP检查,未发现结石复发,无胆总管狭窄。结论〓胆总管探查术后应用改进型三腔引流T管,解决了传统T管引流的一些弊端,能更有效地控制胆道感染和胆道出血,术后胆道造影更清晰,操作简单易行。

关键词: 三腔引流T管, 胆道探查术, 胆管结石, 改良