改良经皮肝胆管取石术治疗复发性胆总管结石的临床效果  

Clinical efficacy of modified percutaneous transhepatic cholangioscopy in recurrent choledocholithiasis

作　　者：王振龙[1] 余勇[1] 陈博艺[1] 李荣[1] 张玉胜[1] 谭广贤 WANG Zhen-long;YU Yong;CHEN Bo-yi;LI Rong;ZHANG Yu-sheng;TAN Guang-xian(Department of Pancreatobiliary Surgery,Zhanjiang Central People’s Hospital,Zhanjiang 524037,Guangdong,China)

机构地区：[1]湛江中心人民医院胆胰外科,广东湛江524037

出　　处：《广东医科大学学报》2022年第3期309-311,共3页Journal of Guangdong Medical University

基　　金：湛江市科技攻关计划项目(2020B01137);湛江市科技发展专项资金竞争性分配项目(2021A05133)。

摘　　要：目的 总结改良经皮肝胆管取石术(mPTCS)治疗复发性胆总管结石的疗效。方法 116例复发性胆总管结石患者分别接受mPTCS(mPTCS组,n=42)、腹腔镜下胆总管切开探查取石+T管引流组(LCBDE组,n=36)和传统开腹胆总管切开探查取石+T管引流组(OECBD组,n=38)。比较3组围手术期变化、肝功能、并发症等。结果 mPTCS组手术时间、术后排气时间、带管时间明显少于其他2组(P<0.01或0.05),住院时间短于OECBD组(P<0.05)。3组结石取净率、术后并发症比较差异无统计学意义(P>0.05)。结论 mPTCS治疗复发性胆总管结石效果良好,可缩短手术时间、术后排气时间及带管时间。Objective To summarize the clinical efficacy of modified percutaneous transhepatic cholangioscopy(mPTCS)in recurrent choledocholithiasis. Methods A total of 116 patients with recurrent choledocholithiasis were treated with mPTCS(mPTCS group, n=42), laparoscopic choledochotomy + T-tube drainage(LC group, n=36) or open choledochotomy + T-tube drainage(OC group, n=38). The perioperative conditions, liver function and complications were compared among three groups. Results The operation, postoperative exhaust and catheter time in mPTCS group were shorter than those in other groups(P<0.01 or 0.05), while hospital stay was fewer in mPTCS group than in OC group(P<0.05). There were no significant differences in stone removal rate and postoperative complications among three groups(P>0.05). Conclusion mPTCS is effective for recurrent choledocholithiasis by reducing operation, postoperative exhaust and catheter time.

关 键 词：复发性胆总管结石 经皮肝胆管取石术 腹腔镜 

分 类 号：R657[医药卫生—外科学]