首页|硬质胆道镜在治疗肝胆管结石中的临床应用探讨

硬质胆道镜在治疗肝胆管结石中的临床应用探讨

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目的:探讨硬质胆道镜治疗肝胆管结石的临床价值。方法:选取2013年10月~2014年10月本院收治的60例肝胆管结石患者临床资料,随机分为观察组与对照组,各30例。观察组取硬质胆道镜治疗,对照组取传统开腹手术治疗,对比两组患者的临床疗效。结果:观察组手术时间、术后引流时间明显短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组即刻结石残留率、最终结石残留率、胆管炎复发率、结石复发率均明显低于对照组,差异有统计学意义(P<0.05)。结论:硬质胆道镜治疗肝胆管结石具有明显的无创性、安全性,手术时间较短,减少出血量,降低结石残留率,避免疾病术后复发,值得临床推广。
objective: to investigate the clinical value of rigid choledochoscope therapy hepatolith. Selection methods: in October 2013 to October 2014 in our hospital clinical data of 60 patients with hepatolith, were randomly divided into observation group and control group, 30 cases each. Take rigid choledochoscope therapy group, control group take the traditional open surgery, compared the clinical efficacy of two groups of patients. Results: the operation time, postoperative drainage time observation group was obviously shorter than the control group, intraoperative blood loss less than the control group, the difference was statistically significant (P<0.05). Observation group with immediate retention rate, final stones residual rate, recurrent cholangitis, calculi recurrence rates were signifi-cantly lower than the control group, the difference was statistically significant (P<0.05). Conclusion:rigid choledochoscope treatment hepatolith has obvious non- invasive, security, shorter operation time, less blood loss, decrease the rate of stone residues, avoid disease recurrence, worth clinical promotion.

rigid choledochoscopeFiber choledochoscope. hepatolith

徐祥、卢乡伟、孙鹏飞、张成胜、石学涛

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山东省肿瘤医院山东省医学科学院250117

山东省肿瘤医院250117

硬质胆道镜 纤维胆道镜 肝胆管结石

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(10)
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