内镜逆行性胰胆管造影术对胆总管结石患者的疗效观察  

Observation on the efficacy of endoscopic retrograde cholangiopancreatography in patients with choledocholithiasis

作　　者：刘茹 王勇[2] LIU Ru;WANG Yong(Department of Gastroenterology,the First Affiliated Hospital of Bengbu Medical College,Anhui,Bengbu 233000,China;Department of Hepatobiliary Surgery,the First Affiliated Hospital of Bengbu Medical College,Anhui,Bengbu 233000,China)

机构地区：[1]蚌埠医学院第一附属医院消化内科,安徽蚌埠233000 [2]蚌埠医学院第一附属医院肝胆外科,安徽蚌埠233000

出　　处：《中国医药科学》2020年第23期255-257,共3页China Medicine And Pharmacy

摘　　要：目的分析内镜逆行性胰胆管造影术对胆总管结石患者的治疗效果及复发情况。方法随机选取2018年2月~2019年10月于我院消化内科住院治疗的胆总管结石患者35例纳入观察组,并随机选取同期我院肝胆外科住院治疗的胆总管结石患者35例纳入对照组。对照组予以常规腹腔镜手术治疗,观察组予以内镜逆行性胰胆管造影术治疗。比较两组患者手术情况、术后疼痛情况、术后并发症发生率以及6个月内胆总管结石复发率。结果观察组患者手术时间、术中出血量、住院时间及住院费用均明显低于对照组,且观察组患者术后7d及14d的VAS评分更低(P <0.05);两组患者术后切口感染、切口出血、呕吐的发生率以及术后6个月复发率比较,差异无统计学意义(P> 0.05),但对照组术后并发症总发生率显著高于观察组(P <0.05)。结论内镜逆行性胰胆管造影术治疗胆总管结石安全有效,复发率低,具有较高的临床应用价值。Objective To analyze the therapeutic effect of endoscopic retrograde cholangiopancreatography in patients with choledocholithiasis and its recurrence. Methods A total of 35 patients with choledocholithiasis admitted to the department of gastroenterology of our hospital from February 2018 to October 2019 and those admitted to the department of hepatobiliary surgery of our hospital during the same period were randomly selected and included into the observation group and the control group, respectively. The control group was treated with conventional laparoscopic surgery, while the observation group was treated with endoscopic retrograde cholangiopancreatography. The operation, postoperative pain, postoperative complication rate and recurrence rate of choledocholithiasis within 6 months were compared between the two groups. Results The operation duration, intraoperative blood loss, length of stay and hospitalization expenses of the observation group were significantly lower than those of the control group, and the VAS scores of the observation group were lower than those of the control group at 7 d and 14 d after operation(P < 0.05). There was no significant difference between the two groups in the incidences of postoperative incision infection, incision bleeding and vomiting, and the recurrence rate 6 months after operation(P > 0.05), but the total incidence of postoperative complication rate in the control group was significantly higher than that in the observation group(P < 0.05). Conclusion Endoscopic retrograde cholangiopanography is safe and effective in the treatment of choledocholithiasis, with low recurrence rate and high clinical application value.

关 键 词：胆总管结石 胰胆管造影术 复发 括约肌切开术 内窥镜逆行 

分 类 号：R657.42[医药卫生—外科学]