摘要
目的:探讨硬质胆道镜在内置保护性鞘管的辅助下治疗肝胆管结石的临床疗效及安全性,为临床上治疗肝胆管结石提供依据。方法:回顾性分析我院诊治的200例肝胆管结石患者,随机分为采用传统手术治疗的对照组100例、采用最新硬质胆道镜联合内置保护性鞘管治疗措施的观察组100例,比较两组平均手术时间、住院时间、术中出血量、术后并发症、结石残留及疗效等指标情况。结果:观察组平均手术时间(108±38)min、对照组为(158±38)min,观察组住院时间(18.5±2.5)d、对照组为(24±3.5)d,观察组术中出血量(21±11)mL、对照组为(89±22)mL、术后并发症(切口感染、胆漏、胸腔积液、肺部感染)对照组为27%,观察组为13%,差异具有统计学意义(P<0.05);结石残留对照组为12%、观察组为8%,两组对比差异不具有统计学意义(P>0.05),观察组明显优于对照组;两组疗效上观察组优于对照组,差异具有统计学意义(P<0.05)。结论:采用硬质胆道镜在内置保护性鞘管的辅助下治疗肝胆管结石具有比传统手术疗法更好的临床效果,术后并发症更低,术中时间、出血量等更少。
To discuss the clinical efficacy and safety of rigid choledochoscope in the built -in protective sheath pipe auxiliary treatment of hepatolith , to provide the reference meaning for the clinical treatment of hepatobiliary duct stones .Method：200 cases of patients with hepatolith in our hospital were re-viewed, and randomly divided into the observation group and the control group , with 100 cases in each group, the control group with traditional surgery ,the observation group was used the latest rigid choledocho-scope joint built-in protective sheath pipe treatment ,And then compared the indicators of two groups of aver-age operation time , intraoperative blood loss , hospital stay , postoperative complications , stone residues and curative effect.Result：The observation group average operation time was （108±38） min, the control group was（158±38） min,the observation group length of hospital stay was （18.5±2.5） days, the control group was （24±3.5） days, the bleeding amount of the observation group was （21±11） ml ,the control group was （89 ±22） ml, the postoperative complications （infection of incision, bile leakage, pleural effusion, pulmonary infection ） in the control group was 27%, the observation group was 13%, the difference had statistically sig-nificant （ P〈0.05）; the residual stones in the control group was 12%, the observation group was 8%, the difference between the two groups had not statistically significant （P〉0.05）, the observation group was sig-nificantly better than the control group;the observation group was better than the control group in the cura-tive effects of two groups,the difference had statistically significant （P〈0.05）.Conclusion：Using rigid chole-dochoscope in built-in protective sheath tube assisted treatment of hepatolith with the clinical effect of treat-ment is better than traditional surgeries ,it is lower postoperative complications , in less time and blood loss , etc.
出处
《河北医学》
CAS
2014年第11期1761-1764,共4页
Hebei Medicine
基金
2013年度广东省医学科研基金立项课题
(编号:A2013254)
关键词
硬质胆道镜
内置保护性鞘管
肝胆管结石
Rigid choledochoscope Built-in protective sheath Hepatolithiasis
