自制T管负压吸引清石系统在胆道镜下胆道结石取石术中的应用效果  

Application Effect of Self-made T-tube Negative Pressure Suction Stone Cleaning System in Biliary Calculi Lithotomy under Choledochoscope

作　　者：吴培生[1] 蒋居毅 叶开华[2] 罗永香[1] 周佳鹏 张秀梅[1] WU Peisheng;JIANG Juyi;YE Kaihua;LUO Yongxiang;ZHOU Jiapeng;ZHANG Xiumei(Qinzhou First People’s Hospital,Qinzhou 535000,China;不详)

机构地区：[1]钦州市第一人民医院,广西钦州535000 [2]钦州市第二人民医院

出　　处：《中外医学研究》2022年第15期155-158,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西壮族自治区卫健委自筹项目(Z20200572)。

摘　　要：目的:探讨自制T管负压吸引清石系统在胆道镜下胆道结石取石术中的应用效果。方法:选取钦州市第一人民医院2020年7月-2021年9月接诊的胆道结石患者100例。根据随机数字的方法将其分为对照组和观察组,每组50例。两组均接受经皮经肝硬质胆道镜术配合气压弹道碎石及取石钳钳夹碎石治疗,对照组采用无吸引辅助的经皮经肝硬质胆道镜术,观察组采用自制T管负压吸引清石系统经皮经肝胆道镜碎石取石术。比较两组围手术期指标、结石清除情况、并发症。结果:观察组的手术时间、术后住院时间均短于对照组,手术出血量少于对照组(P<0.05)。观察组结石未清除率为0(0/50),低于对照组的12.00%(6/50)(P<0.05)。观察组术后并发症发生率低于对照组(P<0.05)。结论:在胆道镜下的胆道结石取石术操作过程中,采用自制T管负压吸引清石系统有利于缩短手术时间和住院时间,降低失血量,提升结石清除率,减少手术后并发症的风险。Objective:To investigate the application effect of self-made T-tube negative pressure suction stone cleaning system in biliary calculi lithotomy under choledochoscope.Method:A total of 100 patients with biliary calculi were selected from the Qinzhou First People’s Hospital from July 2020 to September 2021.According to the method of random number,they were divided into control group and observation group,50 cases in each group.Both groups were treated with percutaneous transhepatic rigid choledochoscopy combined with pneumatic ballistic lithotripsy and lithotripsy by stone forceps.The control group was treated with percutaneous transhepatic rigid choledochoscopy without suction assistance,and the observation group was treated with percutaneous transhepatic rigid choledochoscopy with self-made T-tube negative pressure suction stone cleaning system.Perioperative indexes,stone removal condition and complications were compared between the two groups.Result:The operation time and postoperative hospital stay in the observation group were shorter than those in the control group,and the amount of operation bleeding was less than that in the control group(P<0.05).The non clearance rate of stones in the observation group was 0(0/50),which was lower than 12.00%(6/50)in the control group(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion:In the process of biliary calculi lithotomy under choledochoscope,the use of self-made T-tube negative pressure suction stone cleaning system is conducive to shorten the operation time and hospital stay,reduce blood loss,improve the stone clearance rate and reduce the risk of postoperative complications.

关 键 词：负压吸引 胆道镜 胆道结石 手术 

分 类 号：R657.4[医药卫生—外科学]