常规胆道镜手术+液电碎石术治疗胆管结石的效果及对患者术后并发症的影响  

The effect of conventional choledochoscopy combined with hydroelectric lithotripsis in the treatment of bile duct stones and its influence on postoperative complications

作　　者：程波涛 冯锦希 CHENG Botao;FENG Jinxi(Department of General Surgery,Chongqing Southeast Hospital,Chongqing 401336,China)

机构地区：[1]重庆市东南医院普外科,重庆401336

出　　处：《当代医药论丛》2022年第14期56-58,共3页

摘　　要：目的:研究用常规胆道镜手术+液电碎石术治疗胆管结石的效果及对患者术后并发症的影响。方法:选择2020年10月至2021年8月期间在重庆市东南医院接受胆道手术的68例胆管结石患者作为研究对象。按照随机数表法将其分为观察组和对照组,每组34例患者。对对照组患者进行常规胆道镜手术,对观察组患者进行常规胆道镜手术+液电碎石术,然后比较两组患者的结石取净率和术后并发症的发生率。结果:观察组患者的结石取净率高于对照组患者,差异有统计学意义(P<0.05)。观察组患者术后胆道出血、胆道感染的发生率均低于对照组患者,差异有统计学意义(P<0.05)。两组患者术后再发结石、胆瘘、胰腺炎、胆道狭窄的发生率相比,差异无统计学意义(P>0.05)。结论:用常规胆道镜手术+液电碎石术治疗胆管结石可取得良好的疗效,且安全性较高。Objective:To study the effect of conventional choledochoscopy combined with hydroelectric lithotriptomy in the treatment of bile duct stones and the influence on postoperative complications.Methods:A total of 68 patients with biliary calculi who underwent biliary surgery in Southeast Hospital of Chongqing from October 2020 to August 2021 were selected as subjects.They were divided into observation group and control group according to random number table method,with 34 patients in each group.Patients in the control group were subjected to conventional choledochoscopic surgery,and patients in the observation group were subjected to conventional choledochoscopic surgery+electrolithotripsis,and then the stone removal rate and the incidence of postoperative complications were compared between the two groups.Results:The stone removal rate in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).The incidence of postoperative biliary tract bleeding and biliary tract infection in the observation group was lower than that in the control group,with statistical significance(P<0.05).There was no significant difference in the incidence of postoperative lithiasis,biliary fistula,pancreatitis and biliary stenosis between 2 groups(P>0.05).Conclusion:Conventional choledochoscopy combined with hydroelectrolithotripsis is effective and safe in the treatment of bile duct calculi.

关 键 词：常规胆道镜手术 液电碎石术 胆道手术 并发症 

分 类 号：R575[医药卫生—消化系统]