中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
51-53
,共3页
纤维胆道镜%肝外胆道结石%治疗%临床效果
纖維膽道鏡%肝外膽道結石%治療%臨床效果
섬유담도경%간외담도결석%치료%림상효과
Fiber choledochoscope%Complex extrahepatic cholelithiasis%Treatment%Clinical effect
目的：探究经纤维胆道镜技术治疗复杂的肝外胆道结石的临床效果。方法对该院2012年1月—2014年12月期间收治的120例肝外胆道结石患者的临床资料进行回顾性分析，将120例肝外胆道结石患者随机划分为研究组与对照组，两组各60例。研究组60例患者给予纤维胆道镜技术治疗；对照组60例患者给予常规开腹胆囊切除联合胆总管切开取石T管引流术治疗。对比两组患者的临床治疗效果。结果治疗之后，研究组患者手术后住院时间、手术过程中出血量优于对照组患者，手术时间长于对照组，两组差异有统计学意义(P<0.05)；研究组患者术后1 d疼痛指数明显低于对照组患者，两组差异有统计学意义(P<0.05)；研究组患者肛门排气时间明显低于对照组患者，两组差异有统计学意义(P<0.05)。两组取石成功率均为100%。结论经纤维胆道镜技术治疗复杂的肝外胆道结石的临床效果十分显著，值得在临床治疗中推广应用。
目的：探究經纖維膽道鏡技術治療複雜的肝外膽道結石的臨床效果。方法對該院2012年1月—2014年12月期間收治的120例肝外膽道結石患者的臨床資料進行迴顧性分析，將120例肝外膽道結石患者隨機劃分為研究組與對照組，兩組各60例。研究組60例患者給予纖維膽道鏡技術治療；對照組60例患者給予常規開腹膽囊切除聯閤膽總管切開取石T管引流術治療。對比兩組患者的臨床治療效果。結果治療之後，研究組患者手術後住院時間、手術過程中齣血量優于對照組患者，手術時間長于對照組，兩組差異有統計學意義(P<0.05)；研究組患者術後1 d疼痛指數明顯低于對照組患者，兩組差異有統計學意義(P<0.05)；研究組患者肛門排氣時間明顯低于對照組患者，兩組差異有統計學意義(P<0.05)。兩組取石成功率均為100%。結論經纖維膽道鏡技術治療複雜的肝外膽道結石的臨床效果十分顯著，值得在臨床治療中推廣應用。
목적：탐구경섬유담도경기술치료복잡적간외담도결석적림상효과。방법대해원2012년1월—2014년12월기간수치적120례간외담도결석환자적림상자료진행회고성분석，장120례간외담도결석환자수궤화분위연구조여대조조，량조각60례。연구조60례환자급여섬유담도경기술치료；대조조60례환자급여상규개복담낭절제연합담총관절개취석T관인류술치료。대비량조환자적림상치료효과。결과치료지후，연구조환자수술후주원시간、수술과정중출혈량우우대조조환자，수술시간장우대조조，량조차이유통계학의의(P<0.05)；연구조환자술후1 d동통지수명현저우대조조환자，량조차이유통계학의의(P<0.05)；연구조환자항문배기시간명현저우대조조환자，량조차이유통계학의의(P<0.05)。량조취석성공솔균위100%。결론경섬유담도경기술치료복잡적간외담도결석적림상효과십분현저，치득재림상치료중추엄응용。
Objective To explore the clinical effect of fiber choledochoscopy in the treatment of complex extrahepatic cholelithia-sis. Methods The clinical data of 120 cases of patients with complex extrahepatic cholelithiasis in our hospital from January 2012 to December 2014 were analyzed retrospectively. They were randomly divided into study group and control group, each with 60 cases. The patients in the study group were treated with fiber choledochoscopy. While those in the control group underwent con-ventional open cholecystectomy combined with choledocholithotomy and T-tube drainage. Their clinical effects were compared. Results After treatment, the hospitalization time, bleeding volume during operation in the study group were significantly better than those in the control group, but the operation time was significantly longer than that in the control group, and the differences above showed statistical significance (P<0.05).The pain score of the study group 1 day after operation was significantly lower than that of the control group, with significant difference between the two groups (P<0.05). The anal exhaust in the study group was significant-ly earlier than that in the control group, with significant difference between the two groups (P<0.05). The success rates of stone re-moval were both 100% in the two groups. Conclusion Fiber choledochoscopy is worthy of promotion in the treatment of complex extrahepatic cholelithiasis due to its remarkable effect.
