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 系统阐述腹茧症的发病机理、临床表现和诊治进展。方法 报道腹腔镜胆囊切除术中意外遭遇腹茧症1例，并进行文献综述。 结果 该例患者在腹腔镜下完成胆囊切除并切除膜状组织，术后病理诊断为纤维结缔组织增生伴慢性炎症反应，术后患者恢复顺利。结论 腹茧症的症状、体征及辅助检查均无特异性，较易出现误诊或漏诊，而腹腔镜技术的发展为该疾病的诊治提供了新的尝试。