利胆消石颗粒联合ERBD术治疗胆总管结石疗效评价
发布时间:2018-04-25 03:12
本文选题:胆总管结石 + ERBD术 ; 参考:《河南中医》2017年05期
【摘要】:目的:观察利胆消石颗粒联合胆道塑料支架置入术(ERBD)治疗胆总管巨大结石的临床疗效。方法:选取52例胆总管巨大结石的梗阻性黄疸患者,随机分为对照组25例和治疗组27例,对照组仅行ERBD术,治疗组行ERBD术后加用利胆消石颗粒口服,比较两组术后胆红素消退情况,以及3个月后再次行ERCP取石的成功率。结果:治疗3 d后,两组TBIL比较无显著统计学意义(P0.05);治疗后1周,两组TBIL比较有统计学意义(P0.05)。3个月后再次行ERCP取石成功率治疗组优于对照组,差异均有统计学意义(P0.05)。结论:利胆消石颗粒联合ERBD术可有效解除胆总管巨大取石引起的梗阻性黄疸,并可提高二次取石的成功率,疗效确切。
[Abstract]:Objective: to observe the clinical effect of Lidanxiaoshi granule combined with plastic biliary stent implantation in the treatment of giant choledocholithiasis. Methods: 52 patients with obstructive jaundice with huge common bile duct stones were randomly divided into control group (n = 25) and treatment group (n = 27). The control group was treated with ERBD only and the treatment group was treated with Lidanxiaoshi granule after ERBD. The bilirubin regression was compared between the two groups, and the success rate of ERCP lithotomy 3 months later was compared. Results: after 3 days of treatment, there was no significant difference in TBIL between the two groups (P 0.05), but one week after treatment, there was a significant difference in TBIL between the two groups (P 0.05). After 3 months, the success rate of ERCP lithotomy in the treatment group was better than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: Lidanxiaoshi granule combined with ERBD can effectively relieve obstructive jaundice caused by huge choledocholithiasis and increase the success rate of secondary lithotomy.
【作者单位】: 河南中医药大学第一附属医院;
【基金】:河南省科技厅科技攻关项目(编号:132102310493)
【分类号】:R657.42
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1 宗爱妹;“消石利胆汤”治疗胆结石32例[J];江西中医药;1997年05期
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