研究硬质胆道镜在治疗肝胆管结石中临床应用.docVIP

研究硬质胆道镜在治疗肝胆管结石中临床应用 　　[摘要] 目的 研究在肝胆管结石中采用硬质胆道镜进行治疗的临床应用效果。 方法 整群选取2013年5月―2014年12月该在邵阳市中心医院进修期间所收集的68例肝胆管结石患者，将患者随机分为两组，分别为对照组和治疗组，每组34例，对照组采用纤维胆道镜进行辅助碎石，治疗组采用硬质胆道镜进行辅助碎石治疗，分析两组的手术相关观察指标、近期疗效及远期疗效。 结果 治疗组的手术平均时间、术中出血量均较对照组低（P0.05）；治疗组的结石残留率明显低于对照组（P0.05）；两组的胆管炎复发率、结石复发率相比，治疗组明显低于对照组（P0.05）。 结论 在肝胆管结石患者的治疗中，采用硬质胆道镜辅助治疗，近期疗效及远期疗效均较为显著，具有一定的安全性及有效性，值得临床推广。 　　[关键词] 硬质胆道镜；肝胆管结石；治疗 　　[中图分类号] R65 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0092-03 　　Research on Clinical Application of Flinty Choledochoscopy in Treatment of Hepatic Calculus 　　ZHOU Bin 　　Xinning maternal and child care service centre， Xinning， Hunan Province， 422711 China 　　[Abstract] Objective To research the clinical application value of flinty choledochoscopy in treatment of hepatic calculus. Methods 68 cases of patients with hepatic calculus collected during the period of study in the Shaoyang Central Hospital from May 2013 to December 2014 were selected and randomly divided into two groups with 34 cases in each， the control group were treated with fiber choledochoscope for auxiliary galet， the treatment group were treated with flinty choledochoscopy for auxiliary galet， the observation indexes related to operation， short-term and long-term curative effect of the two groups were analyzed. Results The average operation time and intraoperative blood loss in the treatment group were lower than those in the control group， （P0.05）； the calculi residual rate in the treatment group was obviously lower than that in the control group， （P0.05）， the recurrence rates of cholangeitis and calculi in the treatment group were obviously lower than those in the control group， （P0.05）. Conclusion Flinty choledochoscopy in the auxiliary treatment of patients with hepatic calculus has an obvious short-term and long-term curative effect with a certain security and effectiveness， which is worth promotion in clinic. 　　[Key words] Flinty choledochoscopy； Hepatic calculus； Treatment 　　肝胆管结石是我国常见的胆道疾病，发病率约为10%[1]，多发生在年龄为30～50