当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
12期
33-34
,共2页
输尿管硬镜%肝内胆管结石%治疗
輸尿管硬鏡%肝內膽管結石%治療
수뇨관경경%간내담관결석%치료
Hard ureter mirror%Intrahepatic bile duct stones%Treatment
目的：探讨输尿管硬镜在肝内胆管结石中的临床治疗效果。方法选择乳源瑶族自治县人民医院收治的36例肝内胆管结石患者,随机均分为观察组和对照组（n=18），观察组采用直视下行输尿管硬镜下结石清除术，对照组采用传统的开腹切开胆囊取石，观察比较2组的临床治疗效果。结果2组患者结石取净率比较差异无统计学意义，观察组结石残留率、手术时间和住院时间分别为11.11%、（92.5±20.6）min和（7.5±3.2）d，明显低对照组44.44%、（128.7±34.2）min和（14.6±3.5）d，2组比较差异具有统计学意义（P<0.05）；观察组总有效率达100%，明显高于对照组的83.33%（P<0.05）；观察组无1例发生术后并发症，对照组术后发生切口感染1例、胆漏2例，并发症发生率16.67%（3/18），2组比较差异具有统计学意义（P<0.05）。结论采用直视下输尿管硬镜清除结石治疗肝内胆管结石疗效好，结石残留率低，手术时间短、恢复快，无严重并发症发生，值得临床推广应用。
目的：探討輸尿管硬鏡在肝內膽管結石中的臨床治療效果。方法選擇乳源瑤族自治縣人民醫院收治的36例肝內膽管結石患者,隨機均分為觀察組和對照組（n=18），觀察組採用直視下行輸尿管硬鏡下結石清除術，對照組採用傳統的開腹切開膽囊取石，觀察比較2組的臨床治療效果。結果2組患者結石取淨率比較差異無統計學意義，觀察組結石殘留率、手術時間和住院時間分彆為11.11%、（92.5±20.6）min和（7.5±3.2）d，明顯低對照組44.44%、（128.7±34.2）min和（14.6±3.5）d，2組比較差異具有統計學意義（P<0.05）；觀察組總有效率達100%，明顯高于對照組的83.33%（P<0.05）；觀察組無1例髮生術後併髮癥，對照組術後髮生切口感染1例、膽漏2例，併髮癥髮生率16.67%（3/18），2組比較差異具有統計學意義（P<0.05）。結論採用直視下輸尿管硬鏡清除結石治療肝內膽管結石療效好，結石殘留率低，手術時間短、恢複快，無嚴重併髮癥髮生，值得臨床推廣應用。
목적：탐토수뇨관경경재간내담관결석중적림상치료효과。방법선택유원요족자치현인민의원수치적36례간내담관결석환자,수궤균분위관찰조화대조조（n=18），관찰조채용직시하행수뇨관경경하결석청제술，대조조채용전통적개복절개담낭취석，관찰비교2조적림상치료효과。결과2조환자결석취정솔비교차이무통계학의의，관찰조결석잔류솔、수술시간화주원시간분별위11.11%、（92.5±20.6）min화（7.5±3.2）d，명현저대조조44.44%、（128.7±34.2）min화（14.6±3.5）d，2조비교차이구유통계학의의（P<0.05）；관찰조총유효솔체100%，명현고우대조조적83.33%（P<0.05）；관찰조무1례발생술후병발증，대조조술후발생절구감염1례、담루2례，병발증발생솔16.67%（3/18），2조비교차이구유통계학의의（P<0.05）。결론채용직시하수뇨관경경청제결석치료간내담관결석료효호，결석잔류솔저，수술시간단、회복쾌，무엄중병발증발생，치득림상추엄응용。
Objective To investigate the clinical effect of hard ureter mirror in intrahepatic bile duct stones. Methods Choose the hospital of 36 patients with intrahepatic bile duct stones were randomly divided into observation group and the control group 18 cases, observation group used look downward ureteral hard microscopically for removal of calculus, the control group with traditional laparotomy incision of gallbladder stone, observe the clinical therapeutic effect of the two groups. Results Two group of patient stones take only lead the comparison difference non-statistics signiifcance, Observation group calculi residual rate, operation time and hospital stay were 11.11%, (92.5±20.6)min and (7.5±3.2)d, obvious low observation group 44.44%, signiifcantly lower than the control group (128.7±34.2)min and (14.6±3.5)d, two group of comparison differences have statistics signiifcance (P<0.05);Observation group total effectiveness reaches 100%, is higher than the control group obviously 83.33%(P<0.05);After the observation group does not have 1 example to have the technique the complication, after the control group technique has the margin to infect 1 example, to have the cholerrhagia 2 examples, the complication formation rate 16.67%(3/18), two group of comparison differences has statistics signiifcance (P<0.05). Conclusion Using hard look straight into the ureter mirror clear good curative effect in the treatment of intrahepatic bile duct stones, stones residual rate is low, the operation time is short, fast recovery, no serious complications, worthy of clinical popularization and application.
