摘要
目的 分析胆道镜在治疗肝胆管结石中的临床应用价值.方法 选取我院2011-04～2013-03间诊治的肝胆管结石患者共86例,随机分为观察组和对照组,每组各43例.对照组患者采取传统开腹高位胆管切开取石加胆肠内引流或下管引流术,观察组患者采取胆道镜下取石手术,观察两组患者手术时间、术中出血量、术后引流时间、术后残石复发情况.结果 观察组手术时间、术中出血量、术后引流时间、术后残石率及复发率均优于对照组,差异具有统计学意义（P＜0.01）.结论 胆道镜在治疗肝胆管结石的应用中效果显著,能够缩短手术时间,减少术中出血量及术后引流时间,使术后残石率及复发率降低,值得临床推广应用.
Objective To analyze choledochoscope clinical application value in the treatment of hepatolith. Methods Selecting a total of 86 patients with hepatolith in the hospital from April, 2011 to March, 2013, randomly dividing them into observation group and control group. Patients in the control group had high bile duct incision nephrolithotomy, patients in observation group had under choledochoseope li- thotomy surgery, and operation time, intraoperative blood loss, postoperative drainage, time required and the postoperative residual stone recurrence between the two groups were observed. Results The operation time, intraoperative blood loss, postoperative drainage time, postoperative residual stone rate and recurrence rate of the observation group were superior to the control group, with statistically significant difference （P 〈0. 01 ）. Conclusion Choledochoscope in treating hepatolith application has significant effect. It can shorten the operation time, reduce intraoperative blood loss and postoperative drainage time, decrease the happening of the postoperative residual stone rate and the recurrence rate. So it is worthy of clinical popularization and application.
出处
《黑龙江医学》
2014年第3期280-281,共2页
Heilongjiang Medical Journal
关键词
胆道镜
肝胆管结石
应用价值
Choledochoscope
Hepatolith
Application value
