纤维胆道镜取石在术中及术后应用比较及选择探讨.docVIP

纤维胆道镜取石在术中及术后应用比较及选择探讨 　　【摘要】 目的：分析研究纤维胆道镜取石在临床手术中和完成手术后的应用及有效选择。方法：抽取2012年5月-2016年6月笔者所在医院收治的56例患有胆结石疾病的患者作为研究对象，将其随机分为A组（n=28）和B组（n=28），A组患者在术中接受纤维胆道镜取石操作，B组患者在手术后接受纤维胆道镜取石操作，对比患者术中和手术后纤维胆道镜最终取石效果、具体取石时间以及并发症情况等。结果：A组开腹术患者术中胆总管取石及肝内胆管取石成功率为88.9%，B组术后胆总管取石以及肝内胆管取石成功率为92.9%，比较差异无统计学意义（P0.05），A组和B组肝内胆管取石成功率是75.0%和84.6%，比较差异无统计学意义（P0.05）；两组患者取石时间的比较差异无统计学意义（P0.05），并且都没有产生严重并发症。结论：手术中和手术后胆道镜最终取石效果没有显著差异，可是能够减小患者术后残石率，同时没有严重并发症产生，病情许可及不用严格限制具体手术时间的患者都能够应用，其中术后胆道镜的使用能够对前者起到补充作用，从而取净结石。 　　【关键词】 纤维胆道镜； 胆道结石； 治疗效果 　　doi：10.14033/j.cnki.cfmr.2016.35.013 文献标识码 B 文章编号 1674-6805（2016）35-0027-02 　　【Abstract】 Objective：To analyze the application and effective choice of the fiber choledochoscope lithotomy in clinical surgery and after surgery was performed.Method：From May 2012 to June 2016，in our hospital 56 cases with cholesterol gallstone disease were selected as the research object，which were randomly divided into group A（n=28） and group B（n=28），the patients of group A had been received fiber choledochoscope in intraoperative lithotomy operation，and the group B had been received choledochoscope lithotomy after operation，the effect and time of postoperative fiber choledochoscope final stone taken out and complication in two groups were compared.Result：The patients of open surgery who taken bravery manager stone and intrahepatic bile duct lithotomy successful rate was 88.9% in group A，bile duct lithotomy and intrahepatic.bile duct lithotomy successful rate was 92.9% in group B，the difference had no significant difference（P0.05）.The intrahepatic bile duct lithotomy successful rate was 75.0% and 84.6 % in group A and group B，the comparison had no significant difference（P0.05）.The comparison of lithotomy time had no significant difference（P0.05），and had no serious complication in two groups.Conclusion：Surgery and postoperative choledochoscope eventually stone-free effect don’t had significant difference，but it could reduce the rate of postoperative residual stone，at the same ti