摘要
目的探讨内镜逆行胰胆管造影术(endoscopic retrograde cholangio-pancreatography,ERCP)治疗胆总管结石患者后的效果。方法随机选取江苏省宿迁市沭阳医院消化内科2020年1月—2023年7月收治的70例胆总管结石患者为研究对象,采用随机数法分为对照组和观察组,每组35例。对照组实施腹腔镜手术治疗,观察组实施ERCP治疗。对比两组患者临床相关指标、疼痛状态(Visual Analogue Scale,VAS)评分、不良反应发生率、结石清除率。结果观察组手术时间、肛门排气时间、住院时间更短,术中出血量更少,差异有统计学意义(P<0.05)。两组患者术后3 h、1 d的VAS评分均升高,术后3 d评分均降低,并且观察组术后各时间点VAS评分更低,差异有统计学意义(P<0.05)。两组患者不良反应发生率对比,差异无统计学意义(P>0.05)。观察组结石清除率(94.29%)高于对照组,差异有统计学意义(χ^(2)=4.200,P<0.05)。结论通过ERCP治疗胆总管结石患者,可以缩短手术时间、肛门排气时间、住院时间,减少术中出血量,缓解疼痛,结石清除效果显著。
Objective To investigate the effects of endoscopic retrograde cholangio-pancreatography(ERCP)in the treatment of choledocholithiasis.Methods 70 patients with choledocholithiasis admitted to the Department of Gastroenterology of Shuyang Hospital from January 2020 to July 2023 were randomly selected as the study objects and divided into control group and observation group by the method of random number,with 35 cases in each group.The control group was treated with laparoscopic surgery and the observation group was treated with ERCP.Clinical indicators,Visual Analogue Scale(VAS)score,incidence of adverse reactions and stone clearance were compared between the two groups.Results In the observation group,the operation time,anal exhaust time and hospital stay were shorter than those of the control group and the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The VAS scores of both groups were increased at 3 h and 1 d after surgery,and decreased at 3 d after surgery,and the VAS scores of the observation group were lower than that of the control group at all the time after surgery,the differencs were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).The stone clearance rate in the observation group(94.29%)was higher than that of the control group(χ^(2)=4.200,P<0.05).Conclusion In the treatment of patients with choledocholithiasis,ERCP can shorten the operation time,anal exhaust time,hospital stay,reduce intraoperative blood loss,relieve pain,and significantly remove stones.
作者
王金春
徐正元
WANG Jinchun;XU Zhengyuan(Department of Gastroenterology,Shuyang Hospital,Suqian,Jiangsu Province,223600 China)
出处
《系统医学》
2023年第20期83-86,共4页
Systems Medicine
关键词
内镜逆行胰胆管造影术
胆总管结石
治疗效果
不良反应
Endoscopic retrograde cholangio-pancreatography(ERCP)
Choledocholithiasis
Therapeutic effect
Complication
