摘要
目的:研究加压输液器在胆道镜取石术中的应用价值。方法:随机将48例接受胆道镜取石术患者分为对照组和试验组,各24例,对照组患者在胆道镜取石术中使用普通输液瓶对胆道进行冲洗,试验组患者在胆道镜取石时将输液瓶置入加压输液器内对胆道进行加压冲洗。比较两组患者的结石取净率、术中出血率和住院天数。结果:试验组结石取净率高于对照组,差异有统计学意义(P<0.05);试验组术中出血率、住院天数低于对照组,差异有统计学意义(P<0.05);两组患者术后均无大出血、窦道破裂、腹膜炎等严重并发症。结论:加压输液器在胆道镜碎石取石术中的临床价值优于普通输液器。
Objective:To study the application value of pressure infusor in calculi extraction by choledochoscope.Meth⁃ods:48 patients who underwent calculi extraction by choledochoscope were randomly divided into the control group and the observation group.24 patients in the control group were treated with common infusor during choledocholithotomy,and 24 patients in the observation group were treated with pressure infusor during choledocholithotomy.The biliary tract was flushed with pressure using the two infusors,and the stone removal rate,intraoperative bleeding rate,and length of hospital stay were compared between the two groups.Results:The stone removal rate in the observation group was significantly higher than that in the control group(P<0.05).The intraoperative bleeding rate and length of hospital stay in the observation group were significantly lower than those in the control group(P<0.05).There was no major bleeding,sinus rupture,peritonitis,and other serious complications in the two groups postoperatively.Conclusion:The clinical value of pressure infusor in calculi extraction by choledochoscope is better than that of common infusor,therefore the pressure infusor is worth popularizing and applying.
作者
张坚红
廖启成
巫奕
谢元康
谢斌辉
何晓
ZHANG Jian-hong;LIAO Qi-cheng;WU Yi;XIE Yuan-kang;XIE Bin-hui;HE Xiao(Department of Hepatobiliary and Pancreatic Surgery,The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)
出处
《赣南医学院学报》
2021年第2期150-152,共3页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
基金
江西省教育厅科学技术研究项目(编号:GJJ180820)
赣州市指导性科技计划项目(编号:GZ2018ZSF100)。
关键词
加压输液器
胆道镜取石术
胆道结石
Pressure infusor
Choledocholithotomy
Bile duct stones
