内镜下球囊扩张术治疗非扩张性肝外胆管结石的效果分析  

Effect of Endoscopic Balloon Dilation in the Treatment of Non-dilated Extrahepatic Bile Duct Stones

作　　者：欧兵 江堤 张婉茹 叶颖 Ou Bing;Jiang Di;Zhang Wanru;Ye Ying(Dongguan Hengli Hospital,Dongguan 523460,Guangdong Province,China)

机构地区：[1]东莞市横沥医院,广东东莞523460

出　　处：《中外医药研究》2024年第17期69-71,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析内镜球囊扩张术治疗非扩张性肝外胆管结石的效果。方法:选择2020年6月—2023年9月东莞市横沥医院收治的非扩张性肝外胆管结石患者100例作为研究对象,随机分为对照组与试验组,各50例。试验组给予内镜下球囊扩张术治疗,对照组给予常规治疗方法进行治疗。比较两组临床治疗效果、不良反应及治疗前后生活质量评分。结果:试验组治疗率(96.00%)高于对照组(80.00%),差异有统计学意义(P<0.05)。治疗期间,对照组不良反应总发生率(32.00%)高于试验组(10.00%),差异有统计学意义(P<0.05)。干预前,两组生活质量评分比较,差异无统计学意义(P>0.05);干预后,两组物质生活、社会关系、生理功能、心理功能评分均高于干预前,试验组高于对照组,差异有统计学意义(P<0.05)。结论:在对非扩张性胆结石患者的临床治疗中,使用内镜下球囊扩张术的治疗效果佳,且对于恢复患者生活质量有较好的效果,患者在治疗期间出现的并发症少,安全性高。Objective:To analyze the effect of endoscopic balloon dilation in the treatment of non-dilated extrahepatic bile duct stones.Methods:A total of one hundred patients with non-dilated extrahepatic bile duct stones treated in Dongguan Hengli Hospi⁃tal from June 2020 to September 2023 were selected as the study objects and randomly divided into control group and experimen⁃tal group,with fifty cases in each group.The experimental group was treated with endoscopic balloon dilation,and the control group was treated with conventional treatment.The clinical efficacy,adverse reactions and quality of life scores before and after treatment were compared between the two groups.Results:The treatment rate of experimental group(96.00%)was higher than that of control group(80.00%),and the difference was statistically significant(P<0.05);during treatment,the total incidence of adverse reactions in control group(32.00%)was higher than that in experimental group(10.00%),and the difference was statistically sig⁃nificant(P<0.05);before intervention,there was no significant difference in quality of life scores between the two groups(P>0.05);after intervention,the scores of material life,social relationship,physiological function and psychological function in both groups were higher than before intervention,and the experimental group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:In the clinical treatment of patients with non-dilated gallstones,endoscopic balloon dilation has a good therapeutic effect,and has a good effect on restoring the quality of life of patients,and the complications of patients during treatment are few and high safety.

关 键 词：内镜 球囊扩张术 非扩张性 肝外胆管结石 

分 类 号：R657.4[医药卫生—外科学]