实用医学杂志Issue(20)：3245-3247,3248,4.DOI:10.3969/j.issn.1006-5725.2014.20.014
经皮肝胆道硬镜碎石治疗肝胆管结石手术路径选择的临床研究
Clinical research of percutaneous liver way hard mirror gravel for the treatment of hepatolith surgery path selection
摘要
Abstract
Objective To compare the clinical treatment effects, advantages and disadvantages,and clinical application value of percutaneous liver mirror of gravel (PTCSL) treating hepatolith in two different paths, and provide the reference for the future operations. Methods 81 patients with liver and gallbladder stones form March 2007 to July 2007 were selected, and they were randomly divided into observation group and control group. Observation group take colostomy lithotomy method, which is the one step colostomy lithotomy method, while the control group take two-step methods. Then stone-taking net rate, incidence of complications and hospitalization time were compared between two groups of patients after the treatment cycle of the bleeding. Results After the treatment, statistical results showed that calculi net rate, incidence of complications and length of hospital stay in two groups of patients were not significantly differences (P > 0.05). But the blood loss by the method of one-step colostomy lithotomy in observation group was obviously lower than by the two-step method in control group (P<0.05). Conclusions In clinical, percutaneous liver way mirror lithotripsy (PTCSL) is a more effective method for treatment of hepatolith, two kinds of surgical methods on the path in the clinical treatment effect and complications of the control aspect have the obvious curative effect, but the one-step method of colostomy lithotomy has less blood loss, which under certain conditions can be considered as the choice of operation.关键词
经皮肝胆道镜碎石/肝胆管结石/临床效果Key words
Percutaneous liver mirror of gravel/Hepatolith/Clinical effect引用本文复制引用
王平,方兆山,孙北望,谢嘉奋,刘衍民,叶琛..经皮肝胆道硬镜碎石治疗肝胆管结石手术路径选择的临床研究[J].实用医学杂志,2014,(20):3245-3247,3248,4.基金项目
2013年度广东省医学科研基金立项课题（数字医学技术在经皮肝胆道镜碎石（PTCSL）治疗肝胆管结石中的应用研究） （）
