术后纤维胆管镜取石治疗肝胆管残余结石80例疗效观察
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  • 英文篇名:Clinical Observation of 80 Cases of Bile Duct Remnant Stones Treated by Choledochoscope after Surgery
  • 作者:程廷涛 ; 丁钧
  • 英文作者:CHENG Ting-tao;DING Jun;Department of Surgery, Chongqing Fuling District People's Hospital;Hepatobiliary Surgery in Southwest Hospital Affiliated to Chongqing Army Military Medical University;
  • 关键词:术后纤维胆管镜取石术治疗 ; 胆管残余结石患者 ; 治疗效果
  • 英文关键词:postoperative treatment of fibrous cholangioscopy;;patients with residual hepatolithiasis;;treatment effect
  • 中文刊名:ZGQX
  • 英文刊名:China Medical Device Information
  • 机构:重庆市涪陵区人民医院外科;重庆陆军军医大学附属西南医院肝胆外科;
  • 出版日期:2017-12-25
  • 出版单位:中国医疗器械信息
  • 年:2017
  • 期:v.23
  • 语种:中文;
  • 页:ZGQX201724001
  • 页数:3
  • CN:24
  • ISSN:11-3700/R
  • 分类号:5-6+31
摘要
目的:探讨对肝胆管残余结石患者行术后纤维胆管取石术治疗的临床效果。方法:将2013年2月~2017年2月本院收治的160例肝胆管残余结石患者作为研究对象,根据治疗方法的不同分为研究组和对照组,各80例。对照组行传统取石术治疗,研究组行纤维胆管镜取石术治疗,观察并比较两组治疗有效率以及并发症的发生率。结果:研究组的并发症发生率3.75%(3例)显著低于对照组的16.25%(13例),研究组治疗有效率97.50%(78例)显著高于对照组的77.50%(62例),差异具有统计学意义(P<0.05)。结论:对肝胆管残余结石患者行纤维胆管镜取石术治疗,不仅能够避免再次进行胆管手术,同时,还能够达到十分理想的治疗效果,具有操作简单、用时短以及损伤小等优势。
        Objective: To investigate the clinical effect of postoperative lithotomy for patients with residual bile duct stones. Methods: 160 patients with residual bile duct stones treated in our hospital from February 2013 to February~2017 were selected as the research objects, and divided into the study group and the control group according to the different treatment methods, each with 80 cases. The control group was treated with traditional lithotomy, and the study group was treated with choledochoscopy. The effective rate of the two groups and the incidence of complications were observed and compared. Results: The incidence of complications in the study group was 3 cases(3.75%), significantly lower than the control group of 13 cases(16.25%), the treatment rate of the study group was 78 cases(97.50%), significantly higher than the control group, 62 cases(77.50%). P<0.05, the difference was statistically significant. Conclusion: The residual bile duct stones underwent choledochoifberscope lithotomy treatment, can not only avoid again at the same time, bile duct surgery, also can achieve ideal treatment effect, has the advantages of simple operation, short time and small damage and other advantages.
引文
[1]沈俊,白剑峰.胆道镜在治疗术后肝内外胆管残余结石中的应用[J].安徽医学,2015,36(9):1118-1120.
    [2]刘丹峰,刘志刚,代俭华.胆道镜下球囊扩张术治疗肝内胆管残留结石合并狭窄[J].肝胆胰外科杂志,2016,28(3):217-218.
    [3]何嘉琳.纤维胆道镜治疗术后胆管残余结石疗效观察[J].现代中西医结合杂志,2017,26(1):94-95.
    [4]李敏朋,潘孟,赫军,等.纤维胆道镜治疗术后肝内胆管残石64例临床体会[J].右江医学,2015,43(1):124-125.
    [5]余高斌.左肝外叶切除与胆道镜治疗左肝内胆管结石的效果[J].中国卫生标准管理,2017,8(4):63-65.
    [6]谢坤,张雪,年建泽,等.肝胆管结石胆肠吻合“翻修”手术的临床研究[J].肝胆外科杂志,2016,24(4):261-264.
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