摘要
目的探究纤维胆道镜在肝胆管结石手术中的临床应用价值.方法选择2016年2月至2019年2月在本院接受治疗的肝胆管结石患者320例为研究对象,按照随机数字表法分为对照组(147例)和观察组(173例).对照组采用常规取石治疗,观察组在常规取石后联合纤维胆道镜治疗.观察两组临床疗效,对比两组治疗后残石率、取净值和并发症发生率.结果观察组总有效率为98.84%,明显高于对照组的85.03%,差异有统计学意义(P<0.05);经治疗观察组残石率、复发率及再手术率分别为23.70%、1.73%、21.39%,明显低于对照组,两组比较差异具有统计学意义(P<0.05);观察组术后并发症发生率为13.29%,明显低于对照组的35.37%(P<0.05).结论在肝胆管结石手术中应用纤维胆道镜具有显著的临床疗效,可显著降低患者术后残石率和复发率,且并发症发生率较低,是一种安全有效的治疗方法,值得临床推广.
Objective To discuss the clinical application value of fibrocholedochoscope in hepatolithiasis surgery. Methods 320 patients with hepatic calculus who received therapy from February 2016 to February 2019 in our hospital were selected as research objects, according to random number table method divided into the control group (147 cases) and the observation group (173 cases), control group treated with conventional lithot- omy, while the observation group was treated with conventional lithotomy combined with fibercholedochoscopy. Observed two groups of clinical cu- rative effect, compared the two groups after treatment of residual stone rate and the net value and complication rates. Results The total effective rate of the observation group was 98.84%, significantly higher than that in the control group (85.03%)(P<0.05). The residual stone rate, recurrence rate and reoperation rate in the treatment observation group were 23.70%, 1.73% and 21.39%, respectively, which were less than those in the control group. The difference between the two groups was statistically(P<0.05). The incidence of complications in the observation group was 13.30%, less than that in the control group (35.37%), and the difference between the two groups was statistically(P<0.05). Conclusion The application of fiber- choledochoscope in the operation of hepatolithiasis has a significant clinical effect, can significantly reduce the postoperative residual stone rate and recurrence rate, and the incidence of complications is low, it is a safe and effective treatment method, worthy of clinical promotion.
作者
聂洪鹏
丁良福
张逖
Nie Hongpeng;Ding Liangfu;Zhang Ti(Department of General Surgery,Chongming Branch,Shanghai Tenth People's Hospital,Shanghai,202157,China)
出处
《当代医学》
2019年第35期36-38,共3页
Contemporary Medicine
关键词
纤维胆道镜
肝胆管结石
残石复发
Fibrocholedochoscope
Hepatic calculus
Residual stone recurrence
