河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
11期
1761-1764
,共4页
王平%方兆山%孙北望%谢嘉奋%刘衍民
王平%方兆山%孫北望%謝嘉奮%劉衍民
왕평%방조산%손북망%사가강%류연민
硬质胆道镜%内置保护性鞘管%肝胆管结石
硬質膽道鏡%內置保護性鞘管%肝膽管結石
경질담도경%내치보호성초관%간담관결석
Rigid choledochoscope%Built-in protective sheath%Hepatolithiasis
探讨硬质胆道镜在内置保护性鞘管的辅助下治疗肝胆管结石的临床疗效及安全性，为临床上治疗肝胆管结石提供依据。方法：回顾性分析我院诊治的200例肝胆管结石患者，随机分为采用传统手术治疗的对照组100例、采用最新硬质胆道镜联合内置保护性鞘管治疗措施的观察组100例，比较两组平均手术时间、住院时间、术中出血量、术后并发症、结石残留及疗效等指标情况。结果：观察组平均手术时间（108±38）min、对照组为（158±38）min，观察组住院时间（18．5±2．5）d、对照组为（24±3．5）d，观察组术中出血量（21±11）mL、对照组为（89±22）mL、术后并发症（切口感染、胆漏、胸腔积液、肺部感染）对照组为27％，观察组为13％，差异具有统计学意义（ P＜0．05）；结石残留对照组为12％、观察组为8％，两组对比差异不具有统计学意义（ P＞0．05），观察组明显优于对照组；两组疗效上观察组优于对照组，差异具有统计学意义（ P＜0．05）。结论：采用硬质胆道镜在内置保护性鞘管的辅助下治疗肝胆管结石具有比传统手术疗法更好的临床效果，术后并发症更低，术中时间、出血量等更少。
探討硬質膽道鏡在內置保護性鞘管的輔助下治療肝膽管結石的臨床療效及安全性，為臨床上治療肝膽管結石提供依據。方法：迴顧性分析我院診治的200例肝膽管結石患者，隨機分為採用傳統手術治療的對照組100例、採用最新硬質膽道鏡聯閤內置保護性鞘管治療措施的觀察組100例，比較兩組平均手術時間、住院時間、術中齣血量、術後併髮癥、結石殘留及療效等指標情況。結果：觀察組平均手術時間（108±38）min、對照組為（158±38）min，觀察組住院時間（18．5±2．5）d、對照組為（24±3．5）d，觀察組術中齣血量（21±11）mL、對照組為（89±22）mL、術後併髮癥（切口感染、膽漏、胸腔積液、肺部感染）對照組為27％，觀察組為13％，差異具有統計學意義（ P＜0．05）；結石殘留對照組為12％、觀察組為8％，兩組對比差異不具有統計學意義（ P＞0．05），觀察組明顯優于對照組；兩組療效上觀察組優于對照組，差異具有統計學意義（ P＜0．05）。結論：採用硬質膽道鏡在內置保護性鞘管的輔助下治療肝膽管結石具有比傳統手術療法更好的臨床效果，術後併髮癥更低，術中時間、齣血量等更少。
탐토경질담도경재내치보호성초관적보조하치료간담관결석적림상료효급안전성，위림상상치료간담관결석제공의거。방법：회고성분석아원진치적200례간담관결석환자，수궤분위채용전통수술치료적대조조100례、채용최신경질담도경연합내치보호성초관치료조시적관찰조100례，비교량조평균수술시간、주원시간、술중출혈량、술후병발증、결석잔류급료효등지표정황。결과：관찰조평균수술시간（108±38）min、대조조위（158±38）min，관찰조주원시간（18．5±2．5）d、대조조위（24±3．5）d，관찰조술중출혈량（21±11）mL、대조조위（89±22）mL、술후병발증（절구감염、담루、흉강적액、폐부감염）대조조위27％，관찰조위13％，차이구유통계학의의（ P＜0．05）；결석잔류대조조위12％、관찰조위8％，량조대비차이불구유통계학의의（ P＞0．05），관찰조명현우우대조조；량조료효상관찰조우우대조조，차이구유통계학의의（ P＜0．05）。결론：채용경질담도경재내치보호성초관적보조하치료간담관결석구유비전통수술요법경호적림상효과，술후병발증경저，술중시간、출혈량등경소。
To discuss the clinical efficacy and safety of rigid choledochoscope in the built -in protective sheath pipe auxiliary treatment of hepatolith , to provide the reference meaning for the clinical treatment of hepatobiliary duct stones .Method:200 cases of patients with hepatolith in our hospital were re-viewed, and randomly divided into the observation group and the control group , with 100 cases in each group, the control group with traditional surgery ,the observation group was used the latest rigid choledocho-scope joint built-in protective sheath pipe treatment ,And then compared the indicators of two groups of aver-age operation time , intraoperative blood loss , hospital stay , postoperative complications , stone residues and curative effect.Result:The observation group average operation time was (108±38) min, the control group was(158±38) min,the observation group length of hospital stay was (18.5±2.5) days, the control group was (24±3.5) days, the bleeding amount of the observation group was (21±11) ml ,the control group was (89 ±22) ml, the postoperative complications (infection of incision, bile leakage, pleural effusion, pulmonary infection ) in the control group was 27%, the observation group was 13%, the difference had statistically sig-nificant ( P<0.05); the residual stones in the control group was 12%, the observation group was 8%, the difference between the two groups had not statistically significant (P>0.05), the observation group was sig-nificantly better than the control group;the observation group was better than the control group in the cura-tive effects of two groups,the difference had statistically significant (P<0.05).Conclusion:Using rigid chole-dochoscope in built-in protective sheath tube assisted treatment of hepatolith with the clinical effect of treat-ment is better than traditional surgeries ,it is lower postoperative complications , in less time and blood loss , etc.
