液电碎石和常规胆道镜在胆道手术术后并发症中的临床分析  

Clinical analysis of postoperative complications of biliary surgery with electro-hydraulic lithotripsy or conventional choledochoscopy

作　　者：杜波[1] 刘宇[1] 王志旭[1] 

机构地区：[1]四川省乐山市人民医院普外科,四川乐山614000

出　　处：《实用医院临床杂志》2017年第5期145-147,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨应用液电碎石技术和常规胆道镜在胆道手术术后并发症中的临床效果分析。方法分析2014年1月至2017年1月我院收治的56例胆道手术患者,分为液电碎石组和常规胆道镜组,记录两组术后并发症发生率,结石特征对两组并发症发生率的影响,以及两组结石取净率。结果液电碎石组中胆道出血和胆道感染与常规胆道镜组比较,术后发生率明显减少(P<0.05);液电碎石组结石取净率较胆道镜组高(P<0.05);结石特征如胆管结石≥3 cm和结石数量≥10枚,液电碎石组较常规胆道镜组术后并发症率降低(P<0.05)。结论应用液电碎石技术可以减少患者术中胆道出血和胆道感染发生率,特别对于最大结石直径≥3 cm和总结石数量≥10枚,液电碎石的术后残石发生率较常规胆道镜碎石明显降低。Objective To explore the clinical effect of the application of electro-hydraulic lithotripsy or conventional choledo- choseopy on postoperative complications of biliary surgery. Methods Analysis of 56 patients with biliary tract surgery between January 2014 and January 2017 in our hospital was performed. The patients were divided into electro-hydraulic lithotripsy group and routine cho- ledochoseopy group. The incidence of postoperative complications, the characteristics of the stones and its effect on the incidence as well as stone removal rate were compared between the two groups. Results Compared with the conventional eholedochoscopy group, the in- cidence of biliary tract hemorrhage and biliary tract infection was significantly lower in the electro-hydraulic lithotripsy group （ P 〈 0. 05 ）. The stone removal rate in the lithotripsy group was higher than that of the choledochoscopy group （ P 〈0. 05 ）. When stone fea- tures such as bile duct stones ≥ 3 cm and the number of stones ≥ 10 pieces,the electro-hydraulic lithotripsy group had less incidence of postoperative complications than the conventional choledoehoseopy group （ P 〈0. 05 ）. Conclusion The application of electro-hy- draulic lithotripsy can reduce the incidence of intraoperative biliary hemorrhage and biliary tract infection. Especially, when the maxi- mum stone diameter ≥ 3 cm and the total number of stones ≥10, the electro-hydraulic lithotripsy has fewer occurrences of residual stone than conventional choledochoscopy.

关 键 词：液电碎石术 胆管结石 胆道镜 并发症发生率 

分 类 号：R657.42[医药卫生—外科学]