纤维胆道镜治疗肝胆管结石的临床疗效评价

发布时间：2018-05-21 08:02

本文选题：胆结石 + 手术后并发症发生率　；参考：《中华疾病控制杂志》2016年01期

【摘要】：目的探讨纤维胆道镜治疗肝胆管结石效果及其合理选择。方法回顾性分析安徽医科大学附属六安医院2008-2012年300例肝胆管结石患者的资料,分析胆道镜治疗胆管结石的取石成功率、花费时间和并发症发生率。结果单纯手术组100例,结石取净率为65.00%;胆道镜组200例,术中胆道镜取净率为91.96%,术后取净率为96.60%,行胆道镜手术组取净率高于单纯手术组,差异有统计学意义(醊2=23.35,P0.001),术中术后胆道镜比较差异无统计学意义(醊2=1.87,P=0.171);术中术后胆道镜取石时间比较差异无统计学意义(t=0.67,P=0.263);术中术后胆道镜并发症发生率比较差异无统计学意义(醊2=0.61,P=0.434)。结论胆道镜的应用提高了取石成功率,术中与术后胆道镜都是理想的处理结石方式,需要依据患者病情做出合理的选择,不能强调术中胆道镜的作用而轻视了术后胆道镜的作用。
[Abstract]:Objective to investigate the effect of choledochofiberscope on hepatolithiasis and its reasonable choice. Methods the data of 300 patients with hepatolithiasis in Luan Hospital affiliated to Anhui Medical University from 2008 to 2012 were analyzed retrospectively. The successful rate of choledocholithiasis removal, the time spent and the incidence of complications were analyzed. Results in 100 cases of simple operation group, the stone removal rate was 65.00%, in choledochoscope group 200 cases, intraoperative choledochoscopy removal rate was 91.96, postoperative net rate was 96.60%, the rate of choledochoscopy group was higher than that of simple operation group. The difference was statistically significant (P 0.001), but there was no significant difference between postoperative choledochoscopy and choledochoscopy (21.87%), the time of choledochoscope lithotomy was not statistically significant (P 0.001), and the incidence of postoperative complications of choledochoscopy was higher than that of postoperative choledochoscopy (P 0.001). There was no statistical significance (P < 0. 434). Conclusion the application of choledochoscope can improve the success rate of stone removal. Choledochoscopy is an ideal method for the treatment of stones both during and after operation, and it is necessary to make a reasonable choice according to the patient's condition. The role of intraoperative choledochoscopy cannot be emphasized and the postoperative choledochoscopy is neglected.
【作者单位】：安徽医科大学附属省立医院肝胆胰外科;安徽医科大学附属六安医院普外科;
【基金】：国家自然科学基金(81272397)
【分类号】：R657.4

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