胆道镜配合手术治疗肝胆管结石的临床效果分析

张秀琳1 ，安岗2

（1.合阳县医院，陕西 渭南，715300；2.阎良区人民医院，陕西 西安，710089）

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摘要：

目的 分析胆道镜配合手术治疗肝胆管结石的临床效果。方法 择取我院在2012年1月至2016年1月收治的肝胆管结石患者80例，按数字奇偶法分为对照组和研究组，每组40 例。对照组实施传统开腹高位胆管切开取石联合T 管引流治疗，研 究组给予胆道镜配合肝胆管切开取石法治疗。观察比较两组患者手术情况、治疗效果、复发率、结石残留率和并发症发生率。结果 研究组手术时间、术中出血量、住院时间均明显优于对照组，差异具有统计学意义（P<0.05）；研究组优良率显著高于对 照组（P<0.05）；研究组并发症总发生率、结石残留率与复发率显著低于对照组（P<0.05）。结论 肝胆管结石患者应用经胆道镜 配合肝胆管切开术治疗，术中出血量少且手术时间缩短，并发症发生率、复发率和结石残留率明显降低。

关键词：肝胆管结石；胆道镜；手术治疗

中图分类号：R657.42文献标志码：A文章编号：2096-1413(2017)32-0062-02

Clinical effect of choledochoscopy combined with surgery in the treatment of intrahepatic bile duct stones
ZHANG Xiu-lin 1, AN Gang 2
(1. Heyang County Hospital, Weinan 715300; 2. Yanliang District People``s Hospital, Xi``an 710089, China)

ABSTRACT: Objective To analyze the clinical effect of choledochoscopy combined with surgery in the treatment of intrahepatic bile duct stones. Methods Eighty patients with intrahepatic bile duct stones admitted in our hospital from January 2012 to January 2016 were selected. They were divided into study group and control group according to the number of parity, with 40 cases in each group. The patients in control group were received traditional laparotomy combined with T tube drainage, and the patients in study group were treated with choledochoscopy combined with bile duct incision surgery. The operation condition, curative effect, the recurrence rate, the rate of residual stones and complication rate of the two groups were observed and compared. Results The operation time, intraoperative bleeding, hospitalization time of the study group were better than those of the control group, and there were significant differences (P<0.05). The total incidence of complications, residual stone rate and the recurrence rate of the study group were significantly lower than those of the control group (P<0.05). The excellent rate of the control group was significantly higher than that of the control group (P<0.05). Conclusion The choledochoscopy combined with bile duct incision surgery is applied for the patients with intrahepatic bile duct stones has less blood loss and shorter operation time, and the incidence of complications, recurrence rate and the rate of residual stones are dereased.
KEYWORDS: intrahepatic bile duct stones; choledochoscopy; surgical treatment

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