对比经皮经肝硬质胆镜一期和二期治疗复发性肝胆管结石的价值  

Comparison of the value of percutaneous transhepatic cholangial in the treatment of recurrent hepatic bile duct stones by one stage and two stages

作　　者：何涛[1] 罗晓峰[1] 王振龙[1] 李称才[1] 李荣[1] HE Tao;LUO Xiao-feng;WANG Zhen-long(Department of Hepatobiliary Surgury,Central People’s Hospital of Zhanjiang,Zhanjiang Guangdong 524037,China)

机构地区：[1]湛江中心人民医院肝胆外科,广东湛江524037

出　　处：《中国处方药》2018年第6期12-13,共2页Journal of China Prescription Drug

摘　　要：目的探索经皮经肝胆道造影术(PTC)经瘘道硬质胆镜即刻取石的可行性、并发症、疗效及优势。方法将2010年2月~2017年2月收治的复发性胆石症或经十二指肠乳头途径内镜下取石失败需要再次取石患者,采用随机数字法将其分为一期组(n=56)和二期组(n=56),对比两组手术出血量、手术时间、住院时间、并发症、费用等指标。结果两组患者的手术时间、住院时间、术中出血并发症、费用等指标比较,差异有统计学意义(P<0.05)。结论与对照组相比较,一期组有住院时间短、费用低的优点,在有条件的医院值得推广。Objective To explore the feasibility, complication, curative effect and advantage of immediate stone removal through PTC fistula. Methods The recurrent cholelithiasis or retaking of stones by endoscopy via Duodenal papilla from February 2010 to February 2017 in our hospital was divided into one group（n = 56） and two groups（n = 56） by random number method. The two groups were compared in terms of bleeding volume, operation time, hospitalization time, complications and cost. Results There were significant differences in the amount of blood loss,operation time, hospitalization time and hospitalization expense in the first stage group（P 〈 0.05）. Conclusion Compared to the group two, Group one has the advantage of short hospitalization time and low cost, and it is worth promoting in qualified hospitals.

关 键 词：PTC 硬质胆道镜 复发性 经十二指肠乳头途径内镜下取石失败 肝胆管结石 

分 类 号：R657.42[医药卫生—外科学]