内镜下微创治疗43例胆总管结石的综合疗效观察  

Observation on the Comprehensive Efficacy of Endoscopic Minimally Invasive Method in the Treatment of 43 Cases of Common Bile Duct Stones

作　　者：陈智[1] 蔡文[1] 庄瑞玉[1] 

机构地区：[1]广东省潮州市中心医院消化内科,广东潮州521000

出　　处：《临床医学工程》2013年第5期509-510,共2页Clinical Medicine & Engineering

基　　金：广东省潮州市卫生局项目(项目编号:201206)

摘　　要：目的观察胆总管结石采用内镜下微创治疗的临床效果。方法将2012年3月至2013年2月于我院治疗的87例胆总管结石患者随机分成两组,分别为观察组(内镜下乳头括约肌切开与球囊扩张联合组)43例,对照组(内镜下乳头括约肌切开组)44例,比较两组一次取石手术成功率、逆行胰胆管造影(ERCP)成功率及胆管炎、穿孔、出血、高淀粉酶血症等并发症的发生率。结果观察组一次取石手术成功率为93.0%,ERCP成功率为95.3%,对照组数据则分别为86.4%和90.9%。两组数据相比,无显著性差异(P>0.05);观察组总并发症发生率为2.3%,明显低于对照组总并发症率15.9%,差异有统计学意义(P<0.05)。结论对胆总管结石患者采用内镜下微创治疗,效果良好,其中联合球囊扩张及乳头括约肌切开效果优于单纯应用乳头括约肌切开,技术成熟的医院可大力推广此种治疗方法。Objective To observe the clinical effect of endoscopic minimally invasive method in the treatment of common bile duct stones. Methods Eighty-seven cases of patients with bile duct stones for treatment in our hospital from March 2012 to February 2013 were randomly grouped： the observation group （endoscopic sphincterotomy and balloon dilation combined group） of 43 cases, and the control group （endoscopic sphincterotomy group） of 44 cases. The surgical results, including the once stone procedural success rate, the ERCP success rate and the complication rate of the two groups were compared. Results The one-time stone procedural success rate was 93.0%, and the ERCP success rate was 95.3% in the observation group, with no significant difference compared with the control group （P 〉0.05）. The total complication rate in the observation group was 2.3%, significantly lower than 15.9% in the control group. The difference was statistically significant （P 〈0.05）. Conclusion The endoscopic minimally invasive method has satisfactory clinical effect in the treatment of common bile duct stones, especially in the way of joint balloon dilatation and sphincterotomy, which will be wildely promoted in hospitals with mature techonology conditions.

关 键 词：内镜 胆总管结石 综合疗效 

分 类 号：R657.4[医药卫生—外科学]