利胆消石颗粒联合ERBD术治疗胆总管结石的疗效评价  

Evaluation on the Therapeutic Effect of Lidan Xiaoshi Granule Combined with ERBD in the Treatment of holedocholithiasis

作　　者：刘君颖[1] 赵文霞[1] 刘玮[1] 贺照霞[1] 余海洋[1] 费景兰[1] 

机构地区：[1]河南中医药大学第一附属医院脾胃肝胆病科,郑州450000

出　　处：《中国中医药现代远程教育》2017年第9期92-94,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨利胆消石颗粒联合胆道塑料支架置入术(ERBD)治疗胆总管结石的作用和价值。方法将72例ERCP困难取石患者,随机分为治疗组和对照组,对照组患者行ERBD术,置入1枚Wilson-Cook公司的8.5Fr圣诞树支架,治疗组在对照组基础上口服利胆消石颗粒,2次/d,随访3个月后,再次行ERCP术取石。结果 2组72例患者均成功行ERBD术,术后肝功能明显改善,术后3个月再次行ERCP取石术,治疗组取石成功率(97.22%)显著优于对照组(83.33%)。结论ER BD术治疗ER CP困难取石患者疗效确切,联合利胆消石颗粒治疗效果优于单纯ER BD术。Objective To investigate the function and the value of Lidan Xiaoshi granule combined with endoscopic retrograde biliary drainage （ERBD） in treating choledocholithiasis. Methods 72 eases of patients with ERCP who were difficult to take stone were randomly divided into treatment group and control group. Patients in the control group were treated with ERBI）, Placement of one 8.5 Fr plastic biliary stents produced by theWilson-Cook company. The treatment group was treated with Lidan Xiaoshi granule on the basis of the control group, 2 times/d, after 3 months of following-up, again ERCP operation to take stone. Results 72 eases of patients were successfully done ERBD, postoperative liver function was significantly improved, 3 months after the surgery again ERCP stone removal, the success rate of the treatment group （97.22%） was significantly better than the control group （83.33%） . Conclusion ERBD in thr treatment of ERCP who were difficult to take stone patients has curative effect, combining with Lidan Xiaoshi granule, the therapeutic effect is better than single ERBD technique.

关 键 词：利胆消石颗粒 ERBD 胆总管结石 中成药疗法 胁痛 

分 类 号：R657.4[医药卫生—外科学]