腹腔镜联合胆道镜和柴胡舒肝汤加减治疗胆管结石患者21例  

21 cases of Laparoscope Combined With Choledochoscope and Chaihu Shugan Decoction in the Treatment of Patients With Bile Duct Stones

作　　者：陈超 CHEN Chao(Department of General Surgery,Yingcheng Traditional Chinese Medicine Hospital,Yingcheng Hubei 432400,China)

机构地区：[1]应城市中医医院普外科,湖北应城432400

出　　处：《中国继续医学教育》2018年第21期133-134,共2页China Continuing Medical Education

摘　　要：目的针对胆管结石患者联合使用腹腔镜、胆道镜以及柴胡舒肝汤加减法进行治疗,研究其临床效果。方法选择2016年1月—2017年12月我院收入并实施治疗的胆管结石患者42例,分成对照组和观察组,每组21例,对照组联合使用腹腔镜和胆道镜进行手术治疗,观察组在对照组的前提下给予柴胡舒肝汤加减法进行治疗,比较两组的临床效果。结果观察组的结石取净率(95.24%)比对照组(71.43%)高,并发症发生率(0.00%)比对照组(19.05%)低,差异有统计学意义(P<0.05)。结论针对胆管结石患者联合使用腹腔镜、胆道镜以及柴胡舒肝汤加减法进行治疗,可以有效提高患者的结石取净率,降低患者的并发症发生率。Objective To study clinical effect laparoscope combined with choledochoscope and chaihu shugan decoction in the treatment of patients with bile duct stones.Methods 42 patients with bile duct stones in our hospital from January 2016 to December 2017 were divided into control group and observation group,21 cases in each group.The control group were treated combined use of laparoscopy and Choledochoscopy,were given the treatment of ChaiHuShuGan Decoction on the premise of subtraction group in the control group,the clinical effects were compared between the two groups.Results The stone removal rate in the observation group(95.24%)was higher than that in the control group(71.43%),and the complication rate(0%)was lower than that in the control group(19.05%),and the difference was statistically significant(P<0.05).Conclusion For patients with bile duct stones combined with laparoscope and choledochoscope and Chaihu Shugan decoction treatment can effectively improve the patient's rate of calculus,reduce the incidence of complications in patients.

关 键 词：胆管结石 腹腔镜 胆道镜 柴胡舒肝汤 加减法治疗 效果 

分 类 号：R259[医药卫生—中西医结合]