Abstract
Objective To investigate the efficacy and safety of endoscopic papillary sphincter incision (EST) and open common bile duct (OCT) in patients with common bile duct stones.Methods Ninety-eight cases of patients with chole-docholithiasis were selected, which were treated in our hospital from March 2013 to March 2015, and were divided into EST group (49 cases) and OCT group (49 cases).The patients of OCT group were treated with traditional open choledochotomy stone surgery, and the patients of EST group were treated with EST joint EST stone extraction.Compare the surgery, the stone removals, complications, quality of life and follow up of two groups.Results EST group, operation time, hospitalization time, intra-operative bleeding, duration of abdominal pain, bowel sound recovery time were significantly shorter /less than the OCT group, the difference was statistically significant ( t =36.115, t =10.356, t =88.928, t =18.198, t =34.946, P <0.01); group OCT, the stone clearance rate was slightly higher than that of EST group, but no statistical significance the difference (87.8% vs.93.9%, t =2.238, P >0.05); group EST's gastrointestinal bleeding, biliary tract bleeding, wound infection was significantly lower than OCT group, hyperamylasemia was significantly higher than OCT group (χ2 =6.292,χ2 =6.292,χ2 =10.748,χ2 =5.869, P <0.05), but there was no significant difference in lung infection, reflux esophagitis (χ2 =2.163,χ2 =0.332, P <0.05); EST group in 3 months after total quality of life score was significantly higher than that of OCT group, the difference was statistically significant ( t =4.638, P <0.01); followed up for 12 to 18 months, 2 groups of patients were not bile duct stricture, biliary infection, bile leakage and residual stone.Conclusion Common bile duct calculi underwent EST surgery compared with traditional open stone surgery, less trauma, less bleeding, beneficial to the recovery of patients, in line with the concept of minimally invasive surgery, surgery is a safe and reliable choice, it is worthy of clinical application.关键词
内镜乳头括约肌切开取石术/开腹胆总管切开取石术/胆总管结石/安全性/生活质量Key words
Endoscopic sphincterotomy/Laparotomy/Choledocholithiasis/Safety/Quality of life
