胆道镜联合液电碎石术治疗肝内胆管结石术后残留结石的临床效果  

Clinical effect of choledochoscope combined with electrohydraulic lithotripsy in the treatment of residual stones after surgery for intrahepatic bile duct stones

作　　者：高景雷 刘军 皇甫行勋 王连才[2] 田玉伟[2] GAO Jinglei;LIU Jun;HUANGFU Xingxun;WANG Liancai;TIAN Yuwei(No.1 General Surgery Department,the People's Hospital of Zhecheng County,Shangqiu 476200;Hepatobiliary and Pancreatic SurgeryDepartment,Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]柘城县人民医院普外一科,河南商丘476200 [2]河南省人民医院肝胆胰腺外科,河南郑州450003

出　　处：《临床医学研究与实践》2022年第3期85-87,共3页Clinical Research and Practice

摘　　要：目的探究胆道镜联合液电碎石术治疗肝内胆管结石术后残留结石的临床效果。方法以2019年1月至2020年10月收治的100例肝内胆管结石术后残留结石患者为研究对象,采用单双号随机化法将其分为对照组和试验组,每组50例。对照组行胆道镜取石术治疗,试验组行胆道镜联合液电碎石术治疗。比较两组的一次结石取尽率、手术指标、住院时间、血液指标以及并发症发生情况。结果试验组的一次结石取尽率高于对照组(P<0.05)。试验组的手术出血量、手术用时、住院时间均优于对照组(P<0.05)。术后,两组的WBC、CRP水平、中性粒细胞百分比均高于术前,但试验组低于对照组(P<0.05)。试验组的并发症总发生率低于对照组(P<0.05)。结论胆道镜联合液电碎石术治疗肝内胆管结石术后残留结石,能够提高结石取尽率,缩短手术和康复时间,控制炎症反应程度,降低并发症发生率,值得推广。Objective To explore the clinical effect of choledochoscope combined with electrohydraulic lithotripsy in the treatment of residual stones after surgery for intrahepatic bile duct stones.Methods A total of 100 patients with residual stones after surgery for intrahepatic bile duct stones admitted from January 2019 to October 2020 were selected as the study objects.The patients were divided into control group and experimental group by odd-even randomization method,with 50 cases in each group.The control group was treated with choledochoscope lithotriptomy,and the experimental group was treated with choledochoscope combined with electrohydraulic lithotripsy.The one-time stone removal rate,surgical indexes,hospital stay,blood indexes and complications were compared between the two groups.Results The one-time stone removal rate in the experimental group was higher than that in the control group(P<0.05).The amount of surgical bleeding,operation time and hospital stay in the experimental group were better than those in the control group(P<0.05).After operation,the WBC,CRP level and percentage of neutrophils in the two groups were higher than those before operation,but those in the experimental group were lower than the control group(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion Choledochoscope combined with electrohydraulic lithotripsy in the treatment of residual stones after surgery for intrahepatic bile duct stones can improve the stone removal rate,shorten the time of operation and rehabilitation,control the inflammation response degree,and reduce the incidence of complications,which is worthy of popularization.

关 键 词：胆道镜 液电碎石术 肝内胆管结石 残留结石 

分 类 号：R256.4[医药卫生—中医内科学]