十二指肠镜联合钬激光、中药治疗肝内外胆管结石的临床观察.pdf

WWWWeeeesssstttteeeerrrrnnnn JJJJoooouuuurrrrnnnnaaaallll ooooffff TTTTrrrraaaaddddiiiittttiiiioooonnnnaaaallll CCCChhhhiiiinnnneeeesssseeee MMMMeeeeddddiiiicccciiiinnnneeee,,,,2222000011112222 VVVVoooolllNNNNoooo9999 十二猖肠请肤舍锁激先、巾药 治行肝内外胆营结石的临尿观寥 李巧梅，刘 洁 安康市中医医院，陕西 安康 ［摘 要」 目的：探讨腹腔镜联合钛激光、中药治疗肝 内外胆管结石 的临床疗效。 方法：将 189 例肝 内外胆管 结石 患者分为治疗组 89 例 ，对照组 100 例。 2 组均行连续硬膜外麻醉，患者取低截石位 ，给予常规腹腔镜联合钛 激光碎石治疗，治疗组于术后 同时给予排石 汤。 结果：治疗组手术时间、术 中出血量 、住 院时间、尿液转清时间均 少于对照组 (P 0.05)。 治疗组结石单次全部清除率明显 高于对照组 (P 0.05)，2 组并发症情况对 比无明显差 异 (P 0.05)。 结论 ：腹腔镜联合钛激光、中药治疗肝 内外胆管结石临床疗效显著 。 ［关键词」 肝 内外胆管结石 ；腹腔镜；钛激光；手术配合 ［中图分类号」 R575.6 ［文献标识码」 B ［文章编号」 1004-6852 (2012)09-0064-02 Duodenoscope, Holmium=Laser and Herbs in Treauing Hepauic Exurm=hepmuic Bile Ducu Suones LI Oiao-mei, LI U Jie Ankang Hosp ital of Traditional Chinese Medicine, Ankang 725000, China Obj ectivez To explore clinical efficacy of laparoscope, holmium-laser and herbs in treating hepatic and extra-hepatic bile duct stones. Methodz All 189 patients were allocated into 89 cases in treatment group and 100 cases in control group. Both groups took lithotomy position and were administered with conventional laparoscope and holmium-laser after continuous epidural anesthesia was conducted, observation group were also given with PaishiTang . Resultz Treatment group was less than control group in surgery time, bleeding amount in operation, hospitalization time and urine cleared time (P 0.05). Treatment