The Analysis And Recognition On Biliary Drainage Modus For 2763 Patients With Calculus Of Bile Duct

ObjectiveTo evaluate the diversify on biliary drainage modus of calculus of bile duct following the improvement of diagnostic and surgical technique .Methods1.The clinical records of patients with calculus of bile duct who treated in the second affiliated hospital of Nanchang University in recent 22 years(1986-2007) were collected and to get the general information, such as the age of onset,the gender,the calculary distribution, the methods of diagnosis and therapy. 2. The charged tendency and reasons of biliary drainage modus which T-Tube drain and chole-intestinal anastomosis were analyzed. 3. To compare the data of our hospital with references about biliary drainage modus and analyze the possible reason of appearing these differences.Results1.The percentage of female patients of calculus of bile duct is higher than male patients through the statistical analysis of case data.The percentage of changing is ignore from 1980s to now.2.We discovered that the peak of age of onset is becoming older.3.In 1960-1980,1986-1996 and 1997-2007,the percentage of T-Tube Drain and chole-intestinal anastomosis in synchronized operation therapy is 74.70% with 16.90%,54.13% with 37.00%,67.68% with 13.10%,respectively.ConclusionsIn the past 50 years, the biliary drainage modus of calculus of bile duct in our country experienced 3 different periods,including biliary tract exploration + T-Tube Drain, chole-intestinal anastomosis and radical cure of the focus of infection + T-Tube Drain.