胆管镜治疗老年胆管术后残余结石的效果分析  

Effect of Choledochoscopy Treatment for Postoperative Residue of Biliary Stones in the Elderly

作　　者：陆峻逵 刘芳君 

机构地区：[1]深圳市龙岗区大鹏人民医院外科,广东深圳518120

出　　处：《医学综述》2012年第15期2485-2487,共3页Medical Recapitulate

摘　　要：目的探讨胆管镜治疗老年胆管术后残余结石的方法及疗效。方法随机抽取本院收治的90例老年胆管术后残余结石患者,自愿分为两组:对照组42例,行内镜下乳头括约肌切开取石术;试验组48例,采用联合胆管镜治疗。随访1～2个月,比较两组患者的临床疗效、手术时间、下床活动时间、镇痛泵使用率、平均住院天数等临床指标和并发症发生率。结果治疗后试验组患者的总有效率高于对照组(93.7%vs 78.5%)(P<0.05),试验组手术时间、下床活动时间、平均住院天数均少于对照组,镇痛泵使用率低于对照组,差异有统计学意义(P<0.05)。结论联合胆管镜治疗老年胆管术后残余结石,可显著提高患者的临床疗效,改善其临床指标,减少并发症的发生。Objective To investigate the method and effect of cholangioscopy treatment for postoperative residual stones in elderly patients. Methods 90 elderly patients with postoperative biliary residue admitted in our hospital were randomly selected and divided into two groups based on the patients＇choice,42 cases in control group,re- ceived endoscopic sphincterotomy incision, 48 cases in experimental group, received choledochoscopy combined treatment. 1 to 2 months follow-up were done, the clinical efficacy, operative time, time to ambulation, analgesia usage, the average length of hospital stay and other clinical indicators and the incidence of complications were compared. Results Total effective rate of the experimental group was higher than the control group（93.7% vs 78.5% ） （P 〈0.05） ,and the operation time, time to ambulation, average length of hospital stay,and analgesia usage rate of the experimental group were less than the control group （ P 〈 0.05 ）. Conclusion The eholedochoscopy combined treatment of elderly postoperative biliary residual stones, can significantly improve the clinical efficacy, improve the clinical indicators, and reduce the complications.

关 键 词：胆管镜 内镜下乳头括约肌切开取石术 残余结石 

分 类 号：R657.4[医药卫生—外科学]