首页|肝胆结石片在抑制胆囊结石体外震波碎石后的结石复发中的临床效果观察

肝胆结石片在抑制胆囊结石体外震波碎石后的结石复发中的临床效果观察

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目的 观察肝胆结石片在抑制胆囊结石体外震波碎石后的结石复发中的临床效果.方法 选取余姚市第二人民医院2015年7月~2016年11月收治疗的确诊为胆囊结石并行体外震波碎石手术的患者共60例,按随机数字表法分为观察组和对照组,各30例,观察组患者术后给予肝胆结石片口服治疗,对照组不做特殊处理,随访并记录两组患者胆囊壁厚度、胆囊收缩功能及两组患者胆囊结石复发状况,采用统计学方法对数据进行分析.结果 ①随访1年后观察组患者胆囊壁厚度、胆囊收缩功能评分分别为(2.79±0.34、57.70±4.80)均优于对照组(3.14±0.39、53.13±5.01),且差异均有统计学意义(P<0.05);②随访1年后观察组胆囊结石复发率为10.0%远低于对照组43.3%,且差异有统计学意义(P<0.05);③随访一年后观察组淀粉酶、ALT、ALP、GGT、C反应蛋白等指标均优于对照组且差异有统计学意义(P<0.05).结论 肝胆结石片在抑制胆囊结石体外震波碎石后结石复发中的临床效果良好,未见明显副反应,值得临床进一步研究和应用.
The clinical effect of inhibition about gallstone stone after extracorporeal shock wave by Liver gallstones sheet
Objective To observe the clinical effect of inhibition about gallstone stone after extracorporeal shock wave by Liver gallstones sheet. Methods 60 patients diagnosed gallstone stone from July 2015 to November 2016, randomly divided into treatment group and control group. he treatment group received oral treatment of liver gallstones sheet, control group without special treatment, patients were followed up and recorded gallbladder wall thickness, gallbladder function and gallstone patients were relapse situation, using statistical methods to analyze data. Results After one year observation of patients gallbladder wall thickness, gallbladder function scores were (2.79±0.34,57.70±4.80) than the control group (3.14±0.39,53.13±5.01), and the differences were statistically significant (P<0.05). After one year observation group gallstone recurrence rate was 10.0%, far lower than the control group, 43.3%, and the difference was statistically significant (P<0.05). Conclusion It is worthy of further research and application and it has a good clinical results for the liver gallstones sheet after extracorporeal shock wave lithotripsy inhibition of gallstone stone.

liver gallstones sheetgallbladder stonesstone recurrence

罗梦笔、唐岩

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余姚市第二人民医院 普外科,浙江 余姚 315400

肝胆结石片 胆囊结石 结石复发

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(8)
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