陕西医学杂志Issue(1)：62-64,3.DOI:10.3969/j.issn.1000-7377.2015.01.024
硬质胆道镜在治疗肝胆管结石中的临床应用
Clinical application of rigid choledochoscope in the treatment of bile duct calculus
摘要
Abstract
Objective:To study the clinical effect of percutaneous liver puncture combined rigid choledo‐choscope for the treatment of hepatolith .Methods:Selected 78 cases of patients in our hospital for treatment and randomly divided into hard lens group (group A ,40 cases) and hepatic resection group (group B ,38 cases) .Group A received hard mirror ,while group B received hepatectomy .Compared two groups of patients with operation time ,intraoperative blood loss ,intraoperative blood transfusion ,immediate retention rate ,final stones residual rate and calculi recurrence rate .Results :The operation time of group A was 127 .8 ± 78 .7min ,amount of transfused was 108 .8 ± 86 .2 ml ,intraoperative blood loss was 20 .6 ± 25 .9ml ,while group B was 213 .2 ± 50 .9 min ,195 .7 ± 205 .7 ml ,256 .1 ± 155 .8 ml ,and the difference between the two groups was statistically significant (P <0 .05) .Group A immediate residual rate was 2 .6% ,final stones residual rate was 5 .3% ,recurrent cholangitis was 5 .1% ,while group B was 18 .6% ,23 .8% and 23 .8% ,and the difference between the two groups was statistically significant (P< 0 .05) .Stone recurrence rate of group A was 12 .8% ,while in group B was 23 .8% .The difference was no statisti‐cal significance (P>0 .05) .Conclusion:Hard mirror hepatolith is safe ,minimally invasive and effective ,the short‐term curative effect is better than that of liver resection group .And its long‐term curative effect is the same as the liver resection .关键词
胆结石/外科学/胆总管结石/外科学/腹腔镜检查/对比研究/硬质胆道镜镜/纤维胆道镜Key words
Cholelithiasis/surgery/Common bile duct calculi/surgery/Laparoscopy/Comparatives study/Rigidcholedochoscope分类
医药卫生引用本文复制引用
王平,方兆山,谢嘉奋,孙北望,刘衍民..硬质胆道镜在治疗肝胆管结石中的临床应用[J].陕西医学杂志,2015,(1):62-64,3.基金项目
2013年度广东省医学科研基金立项课题 （）
