摘要
目的:探讨肝胆管结石手术中应用超声联合纤维胆道镜的临床价值。方法:将2015年6月至2016年6月收治的98例肝胆管结石患者根据治疗方式分为观察组(n=51)与对照组(n=47),观察组经超声引导行纤维胆道镜取石术,对照组行纤维胆道镜取石术。比较两组手术疗效、术后并发症发生率、术后残石率、术后3年复发率等。结果:观察组手术疗效优良率高于对照组(P<0.05);两组术后并发症发生率差异无统计学意义(P>0.05);观察组术后2周残石率、术后3年复发率低于对照组(P<0.05)。结论:肝胆管结石手术中应用超声联合纤维胆道镜可显著提高手术疗效,减少术后结石残留,降低远期复发率,且不增加术后并发症的发生,具有较高的安全性。
Objective:To explore the clinical value of ultrasound combined with fiber choledochoscopy on hepatolithiasis.Methods:From Jun.2015 to Jun.2016,98 patients with hepatolithiasis were divided into observation group(n=51)and control group(n=47)according to different treatment methods.The observation group was treated with the fiber choledochoscopy lithotomy under the guidance of ultrasound,and control group was treated with the fiber choledochoscopy lithotomy.The surgical efficacy,incidence of postoperative complications,postoperative residual stone rate and recurrence rate in 3 years after surgery were compared between the two groups Results:There was significant difference in the surgical efficacy between the two groups,and the excellent and good rate in the observation group was significantly higher than that in the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The residual stone rate at 2 weeks after surgery and recurrence rate at 3 years after surgery in the observation group were lower than those in the control group(P<0.05).Conclusions:Ultrasound combined with fiber choledochoscopy in hepatolithiasis surgery can significantly improve the surgical efficacy,reduce postoperative residual stones and long-term recurrence rate without increased postoperative complications.This procedure is of higher safety.
作者
张家明
袁启东
程相超
ZHANG Jia-ming;YUAN Qi-dong;CHENG Xiang-chao(Department of General Surgery,the Third People's Hospital of Henan Province,Zhengzhou 450000,China)
出处
《腹腔镜外科杂志》
2021年第6期423-425,共3页
Journal of Laparoscopic Surgery
关键词
肝胆管结石
胆道外科手术
超声检查
胆道镜检查
Hepatolithiasis
Biliary tract surgical procedures
Ultrasonography
Choledochoscopy
