输尿管硬镜气压弹道碎石治疗肝内外胆管结石可行性及安全性研究.docVIP

输尿管硬镜气压弹道碎石治疗肝内外胆管结石可行性及安全性研究 　　[摘要] 目的 探究输尿管硬镜下气压弹道碎石与胆道镜下液电碎石术治疗肝内外胆管结石的临床疗效及安全性。 方法 选取我院2013年5月～2015年5月收治的复杂性肝内外胆管结石患者共82例，按照随机数表法将其随机分为对照组（n=40）与观察组（n=42）。对照组接受胆道镜下液电碎石术治疗，观察组接受输尿管硬镜下气压弹道碎石术治疗。比较两组患者手术一般情况，结石取净率及并发症情况。 结果 观察组手术操作时间及取石时间明显短于对照组（t=5.9922，6.5804，P0.05）。观察组术后结石取净率为71.4%，明显高于对照组的47.5%（χ2=4.8781，P0.05）。观察组术后并发症发生率为4.8%，明显低于对照组的25.0%（χ2=6.7171，P0.05）。 结论 输尿管硬镜下气压弹道碎石治疗肝内外胆管结石具有较好的临床效果，术后结石取净率较高，安全可靠，值得临床推广应用。 　　[关键词] 输尿管硬镜下气压弹道碎石；胆道镜下液电碎石；肝内外胆管结石 　　[中图分类号] R657.4+2 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0038-03 　　Feasibility and safety study on ureteroscopic air-pressure ballistic lithotripsy in the treatment of intra- and extra-hepatic bile duct calculus 　　OU Yuan-xiang 　　The Second Department of Surgery，Dongfeng People′s Hospital of Zhongshan City in Guangdong Province，Zhongshan 528425，China 　　[Abstract] Objective To explore the clinical effect and safety of ureteroscopic air-pressure ballistic lithotripsy and choledochoscopic electrohydraulic lithotripsy in treatment of intra-and extra-hepatic bile duct calculus. Methods 82 patients with complicated intra-and extra-hepatic bile duct calculus treated in our hospital from May 2013 to May 2015 were selected and randomly divided into the control group（n=40） and the observation group（n=42）.Patients in the control group were treated by choledochoscopic electrohydraulic lithotripsy，while patients in the observation group were treated by ureteroscopic air-pressure ballistic lithotripsy.The general condition，total removal rate of calculus，and complications of two groups were compared. Results The time of operation and calculus removal in the observation group was significantly shorter than that of the control group respectively（t=5.9922，6.5804，P0.05）.The total removal rate in the observation group was 71.4%，significantly higher than 47.5% in the control group （χ2=4.8781，P0.05）.The incidence rate of complication in the observation group was 4.8%，which was significantly lower than 25.0% in the control g