超声引导下经皮肝穿胆道镜联合EMS治疗肝胆管结石的分析  

Clinical study of ultrasound-guided percutaneoustranshepatic choledochoscopy combined with lithotripsy aircraft carrier(EMS)in the treatment of intrahepatic bile duct stones

作　　者：刘玉 范娜 Liu Yu;Fan Na(Department of General Surgery,Second People's Hospital of Qingyang City,Qingyang,Gansu 745000,China;Department of Neurosurgery,Second People's Hospital of Qingyang City,Qingyang,Gansu 745000,China)

机构地区：[1]庆阳市第二人民医院普外科,甘肃庆阳745000 [2]庆阳市第二人民医院神经外科,甘肃庆阳745000

出　　处：《青岛医药卫生》2024年第2期134-137,共4页Qingdao Medical Journal

基　　金：庆阳市科技局青年科技基金,项目编号QY-STK-2023A-028。

摘　　要：目的观察超声引导下经皮肝穿胆道镜联合EMS治疗肝内胆管结石临床疗效及优势、安全性。方法选取于2017年5月—2019年5月在庆阳市第二人民医院肝胆外科就诊的63例患者为研究对象,根据手术方式分为对照组和观察组,对照组31例,观察组32例。比较两组病人手术相关情况,观察两组患者并发症、术后恢复情况及两组患者治疗前和治疗后(术后7天)肝功能相关酶学指标和血清胆红素等指标。结果治疗前,观察组和对照组治疗组相比,AST和ALT两组间差异无统计学意义(P>0.05);术后手术切口长度、手术时间、手术中出血量、手术后放置引流时间、疼痛评分、手术后胃肠功能恢复时间、术后住院天数、术后发热、术后切口感染、AST、ALT、两组间差异均有统计意义(allP<0.05)。结论超声引导下经皮肝穿胆道镜联合碎石航母(EMS)治疗肝内多发结石,是安全、有效的临床治疗方案,值得临床推广。Objective To observe the clinical efficacy,advantages and safety ofultrasound-guided percutaneous transhepatic choledochoscopy combined with EMS in the treatment of intrahepatic bile duct stones.Methods A total of 63 patients who were treated in the Department of Hepatobiliary Surgery of QingyangSecond People's Hospital from May 2017 to May 2019 were selected as the research objects.According to the operation method,they were divided intocontrol group and observation group,31 cases in the control group and 32 cases inthe observation group.The operation-related conditions of the two groupswere compared,and the complications,postoperative recovery,liver function-related enzyme indexes and serum bilirubin indexes of the two groups before andafter treatment(7 days after operation)were observed.Results Results Beforetreatment,there was no significant difference in AST and ALT between the observation group and the control group(P>0.05).Postoperative incisionlength,operation time,intraoperative blood loss,postoperative drainage time,pain score,postoperative gastrointestinal function recovery time,postoperative hospital stay,postoperative fever,postoperative incision infection,AST,ALT,differences between the two groups were statistically significant(all P<0.05).Conclusions Conclusion Ultrasound-guided percutaneous transhepatic choledochoscopy combined with lithotripsy aircraft carrier(EMS)is a safe and effectiveclinical treatment for mul-tiple intrahepatic stones,which is worthy of clinical promotion.

关 键 词：肝内胆管结石 经皮经肝胆道镜检查术 碎石术 

分 类 号：R657.4[医药卫生—外科学]