摘要
目的:探讨术中联合输尿管软镜钬激光碎石治疗肝内胆管结石的效果。方法:选取2019年1月—2020年12月我院收治的80例肝内胆管结石患者作为研究对象,根据随机数字表法分为对照组与观察组,各40例。对照组采用常规手术方案治疗,观察组在对照组基础上联合输尿管软镜钬激光碎石治疗,比较两组术中情况、术后恢复情况、并发症发生率、净石率、残石率、再手术率、术后远期并发症发生率、二次手术率。结果:观察组手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组T管置入时间、术后住院时间短于对照组,差异有统计学意义(P<0.05),视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率、残石率、再手术率低于对照组,净石率高于对照组,差异有统计学意义(P<0.05)。观察组术后远期并发症及二次手术发生率低于对照组,差异有统计学意义(P<0.05)。结论:常规手术联合输尿管软镜钬激光碎石治疗肝内胆管结石具有较好的临床效果。
Objective:To explore the effect of intraoperative combined flexible ureteroscopic holmium laser lithotripsy in the treatment of intrahepatic biliary stone.Methods:A total of 80 patients with intrahepatic biliary stone admitted to this hospital from January 01,2019 to December 31,2020 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group received conventional surgical protocol treatment,and the observation group received the combined flexible ureteroscopic holmium laser lithotripsy on the basis of control group.The intraoperative conditions,postoperative recovery,complication incidence,stone removal rate,stone residue rate,reoperation rate,postoperative long-term complication incidence and secondary surgery rate were compared between the two groups.Results:The operation time in the observation group was shorter than that in the control group,and the intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The time of T tube insertion and postoperative hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)score in the observation group was lower than that in the control group and the difference was statistically significant(P<0.05).The complication incidence,stone residue rate and reoperation rate in the observation group were lower than those in the control group,and the stone removal rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative long-term complications and secondary surgery in the observation group was lower than that in the control group and the difference was statistically significant(P<0.05).Conclusion:The combination of conventional surgery with flexible ureteroscopic holmium laser lithotripsy has better clinical results in the treatment of intrahepatic biliary stone.
作者
徐敏聪
孙刚
Xu Min-cong;Sun Gang(Postgraduate Training Base of Jinzhou Medical University in General Hospital of Northern Theater Command,Shenyang 110015,Liaoning Province,China;Department of Urology Surgery,General Hospital of Northern Theater Command,Shenyang 110015,Liaoning Province,China)
出处
《中国社区医师》
2023年第7期65-67,共3页
Chinese Community Doctors
关键词
肝内胆管结石
输尿管软镜
钬激光碎石
Intrahepatic biliary stone
Flexible ureteroscopy
Holmium laser lithotripsy
