【摘要】 目的 探讨可窦道造影T管在预防胆总管引流术后拔T管胆漏中的价值。方法对169例胆总管切开探查术的病人随机分为造影组(A组，n=71)和对照组(B组，n=98)。A组使用可窦道造影T管引流，经窦道造影显示窦道形成完整后拔管，B组使用传统T管引流常规时间内拔管。比较术后拔T管胆漏的发生率。结果 A组经窦道造影后拔管无一例发生胆漏(0%)，而且避免拔T管后胆漏2例，明显优于未做窦道造影按常规时间拔管而发生胆漏3例(3.1%)的B组(P<0.01)。拔管时间两组对比差异无显著性(P>0.05)。结论 可窦道造影T管明显优于传统T管，使用该T管能够确定掌握拔T管时机，预防拔T管后胆漏。

    关键词 胆漏 新型T管 窦道造影

    Clinical application study of T-tube for sinus tract cholangiography

    Fang Hua，Qiu Zhijian，Yu Xingliang，et al.

    Leping Municipal TCM Hospital，LePing333300.

    【Abstract】 Objective To study the value of T-tube for sinus tract cholangi ography in prevention of bile leakage.Methods One hundred and sixty nine cases of operative exploration of common bile duct were randomly diˉvided into cholang raphy group(A group，n=71)and control group(B group，n=98).Cases of A group with T-tube for sinus tract cholangiography and cases of B group with traditionalT-tube.To compare the recurrence rate of bile leakage of A group with that of Bgroup.Results The recurrence rate of bile leakage of A group was0%(0case) ......