胆道镜下钛激光碎石及逆冲洗配合中药治疗难取性胆管结石疗效分析  

Analysis of Therapeutic Effect on Bile Duct Refractory Residual Stone Treated by Holmium Laser Lithotripsy in Choledochoscopy and Back Flashing Combined with Chinese Herbs

作　　者：王刚 

机构地区：[1]四川省成都三六三医院,四川成都610041

出　　处：《实用中医药杂志》2016年第5期402-404,共3页Journal of Practical Traditional Chinese Medicine

摘　　要：目的:观察胆道镜下钛激光碎石及逆冲洗配合中药治疗难取性胆管结石的临床疗效。方法:74例随机分为治疗组和对照组各37例。两组均采用胆道镜下钛激光碎石结合逆冲洗术,治疗组加用疏肝利胆排石汤治疗。结果:痊愈率、显效率、有效率治疗组分别为78.38%、29.73%、16.22%,对照组分别为59.46%、18.92%、8.11%,治疗组疗效优于对照组(P<0.05);住院时间、胆石残留率、复发率治疗组分别为(13±3.6)天、21.62%、10.81%,对照组分别为(18±4.9)天、40.54%、24.32%,两组比较差异均有统计学意义(P<0.05)。结论:疏肝利胆排石汤联合胆道镜下钛激光碎石结合逆冲洗治疗胆管结石疗效显著,优于单纯手术治疗,可缩短住院时间、降低胆石残留率和复发率。Objective： To observe the clinical curative effect of Shugan Lidan Paishi Decoction combined with cholangioscopy holmium laser lithotripsy with inverse flush in treating refractory bile duct stones. Method： 74 cases of cholelithiasis patients were randomly divided into two groups, with 37 cases in each group. The two groups were given optic choledochoscope holmium laser lithotripsy with inverse flush surgery. The treatment group were treated with Shugan Lidan Paishi Decoction additionally. Result： The recovery rate, obvious effective rate , efficacy rate of the treatment group were 78.38%, 29.73%, 16.22% respectively while that of the control group was 59.46%, 18.92%, 8.11%, which of the treatment group was superior to that of the control group （ P〈0.05 ） . The hospitalization time, the residual rate of gallstone and the recurrence rate of the treatment group were （ 13 ± 3.6 ） d, 10.81%, 21.62% respectively while that of the control group were （ 18 ± 4.9 ） , 40.54%, 24.32% respectively, which of the treatment group was superior to that of the control group （ P〈0.05 ） .Conclusion： Shugan Lidan Paishi Decoction combined with optic choledochoscope holmium laser lithotripsy with inverse flush has significant curative effect on cholelithiasis , better than simple surgery. It could shorten the length of hospital stay, reduce the residual stone rate and the recurrence rate.

关 键 词：难取性胆管结石 胆道镜下钛激光碎石 逆冲洗 疏肝利胆排石汤 

分 类 号：R256.497.562[医药卫生—中医内科学]