胆管镜下Oddi括约肌球囊扩张治疗肝胆管结石临床分析  

Choledochoscopic balloon dilation in Oddi sphincter for hepatolithus

作　　者：彭江涛[1] 刘清泉[1] 

机构地区：[1]漯河市中心医院普外科,河南漯河462000

出　　处：《中华实用诊断与治疗杂志》2015年第7期680-681,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨腹腔镜联合胆管镜下Oddi括约肌球囊扩张治疗肝胆管结石的临床效果。方法 46例胆管镜下Oddi括约肌球囊扩张治疗肝胆管结石患者为观察组,46例开腹手术治疗肝胆管结石患者为对照组,比较2组不同手术方式的治疗效果。结果 2组手术均获成功,观察组手术时间[(175.5±38.2)min)]较对照组[(119.6±25.5)min]长,但术中出血量[(136.5±60.5)mL)、术后排气时间[(52.5±13.3)h]、住院时间[(7±2)d]少于对照组[(278.6±76.5)mL、(88.6±7.7)h、(10±1)d],2组比较差异均有统计学意义(P<0.05);观察组并发症发生率(8.7%)低于对照组(21.7%)(P<0.05);观察组远期结石残余率(4.3%)与对照组(6.5%)比较差异无统计学意义(P>0.05)。结论腹腔镜联合胆管镜下Oddi括约肌球囊扩张治疗肝胆管结石安全、微创、疗效确切。Objective To explore the clinic effect of choledochoseopic balloon dilation in Oddi sphincter for hepatolithus. Methods The therapeutic effect was compared between 46 patients with hepatolithus treated by choledochoscopic balloon dilation in papillary Oddi sphincter and 46 patients with hepatolithus treated by open surgery. Results The operation was successful in all patients. The average operation lasting time was longer （（175.5±38.2） vs （119. 6±25. 5） rain）, the average blood loss volume was larger （（136. 5 ± 60. 5） vs （278.6 ± 76.5） mL）, postoperative anal exhaust time was shorter （（52.5±13. 3） vs （88. 6±7. 7）h） and average hospitalization stay was shorter （（7±2） vs （10±1） d） in observation group compared with those in control group （P〈0.05）. The incidence of complications was 8. 7% in observation group, significantly lower than that in control group （21. 7%） （P〈0.05）. There was no significant difference in long-term incidence of residual hepatolithus between observation group and control group （4.3% vs 6.5%） （P〉0.05）. Conclusion Choledochoscopic balloon dilation in Oddi sphincter is safe, minimally invasive and effective for bepatolithus.

关 键 词：肝胆管结石 十二指肠乳头括约肌球囊扩张术 胆管镜 

分 类 号：R657.4[医药卫生—外科学]