探讨胆道镜联合体内微电极碎石术治疗复杂性肝内外胆管结石可行性.docVIP

探讨胆道镜联合体内微电极碎石术治疗复杂性肝内外胆管结石可行性 　　[摘要] 目的 探讨胆道镜联合?w内微电极碎石术治疗复杂性肝内外胆管结石的可行性。 方法 方便选取并回顾性分析该院2015年1月―2017年5月期间外科收治的74例复杂性肝内外胆管结石患者临床资料，其中接受传统开腹手术治疗的34例患者为对照组，接受胆道镜联合体内微电极碎石术治疗的40例为观察组。记录两组患者手术时间、术中出血量、排气时间、住院时间等指标，并就两组患者术后结石残余率、并发症发生率等问题展开比较。 结果 观察组手术时间（109.8±10.4）min、术中出血量（80.4±12.7）mL、排气时间（11.5±2.3）d、住院时间（7.2±1.2）d均显著低于对照组，差异有统计学意义（P0.05）。术后发现，观察组患者结石残余率、并发症发生率分别为7.50%、5.00%均显著低于对照组17.64%、14.70%，两组比较差异有统计学意义（P0.05）。结论 胆道镜联合体内微电极碎石术治疗复杂性肝内外胆管结石是可行的，并且相较于传统开腹手术效果更好，并发症和结石残余情况更少，值得推广。 　　[关键词] 胆道镜；体内微电极碎石术；复杂性肝内外胆管结石；并发症 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）11（c）-0107-03 　　[Abstract] Objective This paper tries to investigate the feasibility of choledochoscopy combined with microelectrode lithotripsy in the treatment of complex intrahepatic and extrahepatic bile duct stones. Methods The clinical data of 74 patients with complicated intrahepatic and extrahepatic bile duct stones treated in this hospital from January 2015 to May 2017 were convenient selected and retrospectively analyzed. Among them， 34 patients underwent traditional laparotomy were treated with choledochoscopy； 40 patients treated with microelectrode lithotripsy in the union were observed. The operation time， intraoperative blood loss， exhaust time and hospitalization time were recorded in the two groups， and the residual rate of calculus and the incidence of complications were compared between the two groups. Results The operation time was （109.8±10.4） min， the intraoperative blood loss was （80.4±12.7） mL， the exhaust time was （11.5±2.3） d and the hospitalization time was （7.2±1.2） d， significantly lower than those in the control group with statistically significant difference（P0.05）. The left lithiasis and the incidence of complications were 7.50% and 5.00% in the observation group， which were significantly lower than those in the control group of 17.64% and 14.70%. The difference was statistically significant（P0.05）. Conclusion Choledochoscopy combined with microelectrode lithotripsy in the