Clinical analysis of pancreaticobiliary imaging system of endoscopic retrograde cholangiopancreatography combined with laser lithotripsy in the treatment of complex choledocholithiasis
Objective To explore the therapeutic effect of pancreaticobiliary imaging system of endoscopic retrograde cholan-giopancreatography combined with laser lithotripsy in the treatment of complex choledocholithiasis,and the comparative analysis of clinical efficacy and benefit compared with traditional endoscopic retrograde cholangiopancreatography.Methods A total of 24 cas-es of complex choledocholithiasis treated by endoscopic retrograde cholangiopancreatography(ERCP)combined with laser lithotripsis with the assistance of the latest domestic cholangiopancreatography were analyzed in the Endoscopy Center of the Fourth Affiliated Hos-pital of Nanjing Medical University and the Endoscopy Center of the Second Affiliated Hospital of Nanjing Medical University,who were divided into the study group(ERCP assisted by pancreaticobiliary imaging system,n=24)and the control group(traditional retro-grade endoscopic cholangiopancreatography,n=26).The differences of clinical efficacy and medical cost in surgical indexes,rehabilitation indexes,postoperative complication rate,pain degree scoring criteria,SAS anxiety and other clinical efficacy were analyzed.Results In the study group,the average operation time and the average hospital stay were significant lower than those of control group,and there was higher success rate of first operation than that of control group(P＜0.05).The incidence of incision bleeding,cholangitis,and gastro-intestinal injury in the study group was significantly lower than that of the control group(P＜0.05),with only a lower incidence of moder-ate pain compared to the control group(P＜0.05).Conclusion ERCP assisted by pancreaticobiliary imaging system can bring better clinical treatment benefits to patients and meets the concept requirements of rapid recovery and precise minimally invasive treatment..
endoscopic retrograde cholangiopancreatographypancreatic direct vision imaging systemlaser lithotripsycholedocholithiasis
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