纤维胆道镜下微创保胆手术综合治疗胆囊结石患者的疗效
分析
王三贵;田晓;李挺山;张小玲;叶锡银;江志沅;刘衍民
【期刊名称】《国际外科学杂志》 【年(卷),期】2013(040)001
【摘要】Objective To investigate the effect of choledochoscopic gallbladder-preserving cholecystolithotomy combined with traditional Chinese medicine treatment.Methods A randomized controlled clinical study was conducted to analyze the 91 patients who were treated with choledochoscopic gallbladder-preserving cholecystolithotomy and 92 patients who underwent the same operation combined with subsequent treatment of traditional Chinese medicine.Intraoperative,postoperative and follow-up data were compared between the 2 groups (including operation time,blood loss,the rate of biliary fistula and common bile duct injury during the operation,gallbladder contraction function,the recurrence rate of gallstone,etc).Results In the simple choledochoscopic gallbladder-preserving cholecystolithotomy group,rate of gallstone recurrence was 7.7％ (7/91),the gallbladder wall was (3.5 ±0.6) mm,the gallbladder contraction function was (34.0 ± 3.6)％.However,the comprehensive treatment group,the rate of gallstone recurrence was 1.1％ (1/92),the gallbladder wall was(2.5 ±0.5) mm,the gallbladder contraction function was(48.0 ±4.5)％.There were significant differences between
the two groups respectively (P ＜ 0.01,respectively).Conclusion Choledochoscopic
gallbladder-preserving
cholecystolithotomy
combined with traditional Chinese medicine treatment is a safe,feasible,and minimal invasive approach for gallstone,and it can be considered as a alternative treatment of gallstone.%目的 总结利用纤维胆道镜行微创保胆手术综合治疗胆囊结石的经验.方法 用内镜微创保胆取石手术及内镜微创保胆取石术后服用利胆护胆中药,对183例胆囊结石患者进行了随机对照分组,观察下列指标:术中:手术时间、术中出血量、胆瘘和胆总管损伤；术后:反流性胃炎食管炎、胆总管结石发病率、患者的消化功能、胆囊结石的复发率、胆囊壁的厚度、胆囊的收缩功能.结果 单纯内镜微创保胆取石组结石复发率为7.7％ (7/91),胆囊壁厚度为(3.5±0.6)mm,胆囊收缩功能为(34.0±3.6)％,内镜微创保胆取石加中药口服组结石复发率为1.1％(1/92),胆囊壁厚度为(2.5±0.5)mm,胆囊收缩功能为(48.0±4.5)％,上述两组对应值差异均有统计学意义(P＜0.01).结论 内镜微创保胆取石手术是一种安全有效的微创治疗方法,术后加用中药护胆治疗,能够降低保胆取石手术后胆囊结石复发率. 【总页数】3页(36-38)
【关键词】胆囊结石病;外科手术;微创性;综合疗法;纤维胆道镜;保胆手术 【作者】王三贵;田晓;李挺山;张小玲;叶锡银;江志沅;刘衍民 【作者单位】511230广州,广州医学院第一附属医院微创外科 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_international-journal-surgery_thesis/0201233208910.html 【相关文献】
1.纤维胆道镜下微创保胆手术治疗胆囊结石612例随访结果分析 [C], 刘京山; 康晓平; 李晋忠; 赵期康; 金斗; 侯郑生; 黄坤全; 杜文; 于景波; 张宝善 2.纤维胆道镜微创保胆手术治疗胆囊结石32例报道 [C], 张健; 慕林森; 田红军 3.纤维胆道镜下胆囊切开取石保胆手术治疗胆囊结石的疗效分析 [J], 尹成良 4.纤维胆道镜下胆囊切开取石保胆手术治疗胆囊结石的疗效观察 [J], 石文华 5.中国医师协会内镜医师分会行业公布内镜下微创保胆手术取石(息肉)技术规范胆囊结石微创保胆治疗规范 [J],
以上内容为文献基本信息，获取文献全文请下载
纤维胆道镜下微创保胆手术综合治疗胆囊结石患者的疗效分析
