利胆排石方在胆石术后胆道镜探查取石的临床应用分析  

Analysis on clinical application of Lidan Panshi Decoction in treatment of postoperative retained calculi in biliary tracts.

作　　者：刘国华[1] 戴东[1] 谭小宇[1] 

机构地区：[1]广东医学院附属医院外科,湛江524000

出　　处：《齐齐哈尔医学院学报》2013年第13期1933-1934,共2页Journal of Qiqihar Medical University

摘　　要：目的观察利胆排石方在胆道镜治疗胆道术后残石的临床应用价值。方法采用随机数字表法将103例胆道术后残石患者分为中药治疗组53例、对照组50例,中药治疗组予利胆排石方干预治疗,对照组不予中药干预治疗,术后6周行胆道镜探查取石术,比较两组一次取石成功率、并发症发生率、取石次数、住院时间。结果中药治疗组和对照组术后胆道镜探查术一次取石成功率分别是88%和51%,差异有统计学意义(P<0.05)。中药治疗组胆道镜探查取石并发症胆道出血、寒战和发热发生率以及取石次数均低于对照组(P<0.05)。中药治疗组的住院时间明显低于对照组(P<0.05)。结论胆道术后应用利胆排石方可提高术后胆道镜取残石的一次取石成功率,降低并发症发生率及取石次数,明显缩短患者住院时间及费用。Objective To observe the application value in Lidan Panshi Decoction in the treatment of postoperative retained calculi in biliary tracts.Methods 103 cases of postoperative retained calculi in biliary tracts were divided into therapeutic group（53 cases） which treated by Lidan Panshi Decoction and control group（50 cases）.All cases were treated by choledochoscopy after 6 weeks＇ biliary operation,and comparative analyzed the difference in items such as right first time（RFT）,complication probability,calculus removed times and length of stay.Results RFT of therapeutic group was 88 % and RFT of control group was 51 %.And the difference between them was statistically significant（P0.05）.As compared with control group,therapeutic group had lower calculus removed times,length of stay and complication probability such as hemobilia,shiver,and fever（P0.05）.Conclusions Lidan Panshi Decoction can improve the right first time rate,and reduce calculus removal time and complication probability,which can shorten length of stay and hospitalization costs.

关 键 词：利胆排石方 胆道镜 临床应用 

分 类 号：R657.4[医药卫生—外科学]