中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
17期
40-42
,共3页
输尿管镜气压弹道碎石术%肝胆管结石%疗效
輸尿管鏡氣壓彈道碎石術%肝膽管結石%療效
수뇨관경기압탄도쇄석술%간담관결석%료효
Ureteroscopy pneumatic ballistic lithotripsy%Hepatolith%Curative effect
目的：分析研究输尿管镜气压弹道碎石术在肝胆管结石治疗中的应用效果。方法2009年12月~2013年12月梅州市丰顺县人民医院收治60例肝胆管结石患者，30例予以传统开腹手术治疗作为对照组，30例予以输尿管镜气压弹道碎石术治疗作为实验组，对比分析两组患者并发症及治疗效果情况。结果实验组T管拔除时间[(20.87±6.67)d]高于对照组[(13.27±5.13)d]，差异有统计学意义(t =16.6635，P<0.05)。实验组术中出血量、肠功能恢复速度及住院时间分别为[(80.76±21.76)mL、(1.99±0.76)d、(7.65±1.54)d]，对照组则分别为[(140.89±23.78)mL、(3.78±0.87)d、(11.99±2.87)d]，实验组明显低于对照组，差异均有统计学意义(P<0.05)。实验组患者的并发症发生率(3.33豫)、净石率(96.67豫)、残石率(3.33豫)及再手术率(0.00%)均低于对照组(20.00豫、70.00豫、30.00豫、23.33豫)，差异有统计学差异(P<0.05)。结论与传统开腹疗法相比，结合输尿管镜气压弹道碎石术辅助治疗肝胆管结石，具有创伤小、恢复快、并发症低、净石率高等优点，可在临床中推广应用。
目的：分析研究輸尿管鏡氣壓彈道碎石術在肝膽管結石治療中的應用效果。方法2009年12月~2013年12月梅州市豐順縣人民醫院收治60例肝膽管結石患者，30例予以傳統開腹手術治療作為對照組，30例予以輸尿管鏡氣壓彈道碎石術治療作為實驗組，對比分析兩組患者併髮癥及治療效果情況。結果實驗組T管拔除時間[(20.87±6.67)d]高于對照組[(13.27±5.13)d]，差異有統計學意義(t =16.6635，P<0.05)。實驗組術中齣血量、腸功能恢複速度及住院時間分彆為[(80.76±21.76)mL、(1.99±0.76)d、(7.65±1.54)d]，對照組則分彆為[(140.89±23.78)mL、(3.78±0.87)d、(11.99±2.87)d]，實驗組明顯低于對照組，差異均有統計學意義(P<0.05)。實驗組患者的併髮癥髮生率(3.33豫)、淨石率(96.67豫)、殘石率(3.33豫)及再手術率(0.00%)均低于對照組(20.00豫、70.00豫、30.00豫、23.33豫)，差異有統計學差異(P<0.05)。結論與傳統開腹療法相比，結閤輸尿管鏡氣壓彈道碎石術輔助治療肝膽管結石，具有創傷小、恢複快、併髮癥低、淨石率高等優點，可在臨床中推廣應用。
목적：분석연구수뇨관경기압탄도쇄석술재간담관결석치료중적응용효과。방법2009년12월~2013년12월매주시봉순현인민의원수치60례간담관결석환자，30례여이전통개복수술치료작위대조조，30례여이수뇨관경기압탄도쇄석술치료작위실험조，대비분석량조환자병발증급치료효과정황。결과실험조T관발제시간[(20.87±6.67)d]고우대조조[(13.27±5.13)d]，차이유통계학의의(t =16.6635，P<0.05)。실험조술중출혈량、장공능회복속도급주원시간분별위[(80.76±21.76)mL、(1.99±0.76)d、(7.65±1.54)d]，대조조칙분별위[(140.89±23.78)mL、(3.78±0.87)d、(11.99±2.87)d]，실험조명현저우대조조，차이균유통계학의의(P<0.05)。실험조환자적병발증발생솔(3.33예)、정석솔(96.67예)、잔석솔(3.33예)급재수술솔(0.00%)균저우대조조(20.00예、70.00예、30.00예、23.33예)，차이유통계학차이(P<0.05)。결론여전통개복요법상비，결합수뇨관경기압탄도쇄석술보조치료간담관결석，구유창상소、회복쾌、병발증저、정석솔고등우점，가재림상중추엄응용。
Objective To analyze the application effect of ureteroscopy pneumatic ballistic lithotripsy on the treatment of hepatolith. Methods From December 2009 to December 2013, 60 patients with hepatolith during were choosed, 30 cases treated with traditional laparotomy were as control group, 30 cases treated with ureteroscopy pneumatic ballistic lithotripsy were as experiment group, complications and treatment effect were compared between two groups. Results In the experiment group, T tube pulling up time [(20.87±6.67)d] was higher than that in the control group [(13.2±5.13)d], the difference was statistically significant (t=16.6635, P<0.05). The intraoperative blood loss, bowel function recov-ery speed and length of hospital stay in experiment group [(80.76±21.76)mL, (1.99±0.76)d, (7.65±1.54)d] were better than those in control group [(140.89±23.78)mL, (3.78±0.87)d, (11.99±2.87)d], the differences were statistically signifi-cant(P<0.05). Complication rates, the net rate of stone, the remnant stone rate and reoperation rate in the experimental group (3.33%, 96.67%, 3.33%, 0.00%) were significantly lower than those of the control group (20.00%, 70.00%, 30.00%, 23.33%), the differences were statistically significant (P< 0.05). Conclusion Compared with the traditional open therapy, ureteroscopy pneumatic ballistic lithotripsy in treatment of hepatolith has characteristic of little trauma, quick recovery, low complication and high rate of net stone, so it should be applied in the clinical.
