中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
9期
991-993
,共3页
张培琴%李卿明%刘伦扬%宋金珂
張培琴%李卿明%劉倫颺%宋金珂
장배금%리경명%류륜양%송금가
内镜微创保胆取石术%胆囊结石%中医疗法,利胆防石散
內鏡微創保膽取石術%膽囊結石%中醫療法,利膽防石散
내경미창보담취석술%담낭결석%중의요법,리담방석산
Endoscopic minimally invasive cholecystolithotomy in protecting gallbladder%Cholecystolithiasis%Traditional chinese medicine therapy,Lidanpaishi powder
目的 评价选择性保胆取石术后利胆防石散内服预防胆囊结石复发的临床应用价值.方法 将我院2007-2009年符合内镜微创保胆取石术条件的60例胆囊结石患者,按随机排列表将患者分为两组,各30例.两组患者通过腹腔镜切开胆囊底,应用纤维胆道镜进行取石,保留功能良好的胆囊.治疗组患者术后5 d服利胆防石散3个月.对照组患者除不服利胆防石散外,其余护理、饮食等与治疗组相同.术后2年复查胆囊壁厚度及胆囊收缩功能,比较两组有无差异.结果 60例保胆取石术均获成功,无严重并发症,3～5 d均痊愈出院.两组患者术前胆囊壁厚度、胆囊收缩功能间差异均无统计学意义(P＞0.05),术后2年两组患者胆囊壁厚度、胆囊收缩功能间差异均有统计学意义(P＜0.05).结论 保胆取石术后患者服用利胆防石散,能使胆囊壁的厚度明显减少,既能减轻胆囊的炎症反应,还能增强胆囊的收缩功能,对胆囊结石的复发有一定的预防作用.
目的 評價選擇性保膽取石術後利膽防石散內服預防膽囊結石複髮的臨床應用價值.方法 將我院2007-2009年符閤內鏡微創保膽取石術條件的60例膽囊結石患者,按隨機排列錶將患者分為兩組,各30例.兩組患者通過腹腔鏡切開膽囊底,應用纖維膽道鏡進行取石,保留功能良好的膽囊.治療組患者術後5 d服利膽防石散3箇月.對照組患者除不服利膽防石散外,其餘護理、飲食等與治療組相同.術後2年複查膽囊壁厚度及膽囊收縮功能,比較兩組有無差異.結果 60例保膽取石術均穫成功,無嚴重併髮癥,3～5 d均痊愈齣院.兩組患者術前膽囊壁厚度、膽囊收縮功能間差異均無統計學意義(P＞0.05),術後2年兩組患者膽囊壁厚度、膽囊收縮功能間差異均有統計學意義(P＜0.05).結論 保膽取石術後患者服用利膽防石散,能使膽囊壁的厚度明顯減少,既能減輕膽囊的炎癥反應,還能增彊膽囊的收縮功能,對膽囊結石的複髮有一定的預防作用.
목적 평개선택성보담취석술후리담방석산내복예방담낭결석복발적림상응용개치.방법 장아원2007-2009년부합내경미창보담취석술조건적60례담낭결석환자,안수궤배렬표장환자분위량조,각30례.량조환자통과복강경절개담낭저,응용섬유담도경진행취석,보류공능량호적담낭.치료조환자술후5 d복리담방석산3개월.대조조환자제불복리담방석산외,기여호리、음식등여치료조상동.술후2년복사담낭벽후도급담낭수축공능,비교량조유무차이.결과 60례보담취석술균획성공,무엄중병발증,3～5 d균전유출원.량조환자술전담낭벽후도、담낭수축공능간차이균무통계학의의(P＞0.05),술후2년량조환자담낭벽후도、담낭수축공능간차이균유통계학의의(P＜0.05).결론 보담취석술후환자복용리담방석산,능사담낭벽적후도명현감소,기능감경담낭적염증반응,환능증강담낭적수축공능,대담낭결석적복발유일정적예방작용.
Objective To evaluate the clinical application of Lidanfangshi powder (Chinese medicinal preparation) for preventing the relapse of lithiasis after the alternative microinvasive gallbladder-protected lithotomy.Methods Totally 60 patients in our hospital who met the demand of endoscopic microinvasive cholecystolithotomy in protecting gallbladder were by random permutations divided into two groups,with 30 in each.The bottom of gallbladder of the patients in both groups was incised by using laparoscope,and then the calculus was removed by using the choledochofiberscope in order to preserve the well-functioning gallbladder.The patients in the trial group were given Lidanfangshi powder 5 days after surgery for 3 months.The same nursing and diet therapies were given for the patients in the control group except for medication of the powder.Results All the operations of microinvasive gallbladder-protected lithotomy for the 60 patients were successful.No serious complication appeared.All the patients were recovered and discharged from hospital from the 3 to 5 days.In discrepancies of the thickness of gallbladder wall and the function of gallbladder contraction there was no statistical significance between the two groups before surgery (P＞0.05),however,there was two years after the operation (P＜0.05).Conclusion Application of Lidanfangshi powder for patients received microinvasive gallbladder-protected lithotomy can reduce the thickness of gallbladder wall,relieve the inflammatory reaction,and enhance the contraction function of gallbladder so as to prevent the relapse of cholelithiasis.
