中药联合纤维胆道镜治疗胆石症术后肝内外胆管残留结石90例疗效观察  

Therapeutic Effect of Chinese Herbal Medicine Plus Choledochoscopy for Postoperative Retained Stone in Hepatobiliary Tracts:An Observation of 90 Cases

作　　者：陈少逸[1] 文军[1] 杨少华[1] 刘兴木[1] 周芝松 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《新中医》2013年第11期76-78,共3页New Chinese Medicine

摘　　要：目的:探讨治疗胆石症术后肝内外胆管残留结石的有效方法。方法:将168例患者随机分为2组,实验组90例采用利胆排石汤联合纤维胆道镜治疗,对照组78例采用单纯纤维胆道镜取石治疗,比较2组患者术后胆道镜应用次数、操作时间和结石取净率、2年后复发率和再次发病率。结果:治疗后实验组做胆道镜平均次数、平均取石操作时间、复发率、再次发病率均少于对照组,结石取净率高于对照组,2组比较,差异有显著性或非常显著性意义(P<0.05,P<0.01)。结论:利胆排石中药能显著提高胆道镜的工作效率和结石取净率,有效预防结石的复发。Objective： To probe into an efficient therapy for postoperative retained stone in hepatobiliary tracts. Methods： A total of 168 patients were divided into 2 groups. Ninety patients in the experimental group were given oral use of Chinese herbal medicine of Lidan Paishi decoction and calculus removal with fibric choledochoscopy, and 78 in the control group were treated by calculus removal with fibric choledochoscopy only. Application frequency of choledochoscopy, operation time, the stone clearance rate, and recrudesce rate after 2 years were compared in the two groups. Results： After treatment, the application of frequency of choledochoscopy, operation time, and recrudesce rate after 2 years were less, and the stone clearance rate was higher in the experimental group than those in the control group , the differences being significant（P 〈 0.05, P 〈 0.01）. Conclusion： Chinese herbal medicine with the actions of promoting gallbladder function and calculus removal exerts synergistic effect on increasing the efficiency of therapy and stone clearance rate, and on preventing stone recurrence after calculus removal with fibric choledochoscopy.

关 键 词：胆石症术后 肝胆管结石 残留结石 胆道镜 利胆排石汤 

分 类 号：R575.62[医药卫生—消化系统]