摘要
目的:比较经皮肝胆道镜碎石(PTCSL)两种不同路径治疗肝胆管结石的临床治疗效果、优缺点及临床应用价值,为今后经皮肝胆道镜手术选择提供依据。方法:选取2007年3月至2012年7月间于广州医科大学附属第一医院确诊并接受治疗的81例肝胆结石患者作为研究对象,随机分成观察组和对照组,其中观察组39例,对照组42例,观察组采取一步造瘘取石法,对照组则采取二步造瘘取石法,治疗周期结束后比较两组患者的出血量、结石取净率、并发症发生率以及住院时间。结果:治疗周期结束后,两组患者的结石取净率、并发症发生率以及住院时间差异均无显著性(P>0.05),采取一步造瘘取石法的观察组在出血量方面明显低于采用二步造瘘取石法的对照组,差异具有显著性(P<0.05)。结论:PTCSL是临床治疗肝胆管结石的一种较为有效方法,两种手术路径方式在临床治疗效果以及并发症的控制方面均有明显疗效,但一步造瘘取石法出血量较少,在一定条件下可作为手术的首选。
Objective To compare the clinical treatment effects, advantages and disadvantages, and clinical application value of percutaneous liver mirror of gravel （PTCSL） treating hepatolith in two different paths, and provide the reference for the future operations. Methods 81 patients with liver and gallbladder stones form March 2007 to July 2007 were selected, and they were randomly divided into observation group and control group. Observation group take colostomy lithotomy method, which is the one step colostomy lithotomy method, while the control group take two-step methods. Then stone-taking net rate, incidence of complications and hospitalization time were compared between two groups of patients after the treatment cycle of the bleeding. Results After the treatment, statistical results showed that calculi net rate, incidence of complications and length of hospital stay in two groups of patients were not significantly differences （P 〉 0.05）. But the blood loss by the method of one-step colostomy lithotomy in observation group was obviously lower than by the two-step method in control group （P 〈 0.05 ）. Conclusions In clinical, percutaneous liver way mirror lithotripsy （PTCSL） is a more effective method for treatment of hepatolith, two kinds of surgical methods on the path in the clinical treatment effect and complications of the control aspect have the obvious curative effect, but the one-step method of colostomy lithotomy has less blood loss, which under certain conditions can be considered as the choice of operation.
出处
《实用医学杂志》
CAS
北大核心
2014年第20期3245-3248,共4页
The Journal of Practical Medicine
基金
2013年度广东省医学科研基金立项课题(数字医学技术在经皮肝胆道镜碎石(PTCSL)治疗肝胆管结石中的应用研究)(编号:A2013254)
关键词
经皮肝胆道镜碎石
肝胆管结石
临床效果
Percutaneous liver mirror of gravel
Hepatolith
Clinical effect
