摘要
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。
Objective To explore the clinical effect of fiber choledochoscopy in the treatment of complex extrahepatic cholelithiasis. 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 conventional 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 significantly earlier than that in the control group, with significant difference between the two groups(P<0.05). The success rates of stone removal 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.
出处
《中外医疗》
2015年第23期51-53,共3页
China & Foreign Medical Treatment
关键词
纤维胆道镜
肝外胆道结石
治疗
临床效果
Fiber choledochoscope
Complex extrahepatic cholelithiasis
Treatment
Clinical effect
