| 韩转宁,郭宏斌,胡海燕,张静芳,韩秀清.超声引导下肝内胆管置管治疗肝内胆管结石并发梗阻的临床效果观察[J].,2020,(7):1322-1325 |
| 超声引导下肝内胆管置管治疗肝内胆管结石并发梗阻的临床效果观察 |
| Clinical Observation on the Effect of Ultrasound-guided Intrahepatic Bile Duct Placement on the Hepatolithiasis Complicated with Obstruction |
| 投稿时间：2019-06-23 修订日期：2019-07-18 |
| DOI：10.13241/j.cnki.pmb.2020.07.026 |
| 中文关键词: 超声引导 肝内胆管置管 肝内胆管结石并发梗阻 |
| 英文关键词: Ultrasound-guided Intrahepatic bile duct catheterization Hepatolithiasis complicated with obstruction |
| 基金项目:陕西省科技厅重点研发项目(2018SF-129) |
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| 中文摘要: |
| 摘要 目的：探究超声引导下肝内胆管置管治疗肝内胆管结石并发梗阻的临床效果和安全性。方法：选择2014年1月至2018年1月于我院接受治疗的98例肝内胆管结石并发梗阻患者为研究对象，将患者按照入院顺序统一编号后，根据随机数字表法进行分为实验组与对照组，每组各49例患者。对照组患者于常规X线引导下行肝内胆管置管治疗，实验组患者在超声引导下实施肝内胆管置管治疗，对比两组患者穿刺次数、手术时间、术后并发症的发生情况，并对两组患者随访3个月，比较其结石残余率及治疗效果。结果：(1)实验组患者穿刺次数及操作时间均显著少于对照组(P<0.05)；(2)实验组患者术后各类并发症发生率为4.08%，明显低于对照组(20.41%，P<0.05)；(3)对照组患者后3个月的结石残余率为14.29%(7/49)，实验组为2.04%(1/49)，显著低于对照组(P<0.05)；(4)术后3个月，实验组患者治疗总有效率为97.96%，明显高于对照组(81.63%，P<0.05)。结论：与常规X线引导下行肝内胆管置管治疗相比，超声引导下肝内胆管置管在治疗肝内胆管结石并发梗阻中具有较更好的治疗效果和安全性。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical effect and security of ultrasound-guided intrahepatic bile duct catheterization in the treatment of hepatolithiasis complicated with obstruction. Methods: 98 patients with hepatolithiasis complicated with obstruction who were treated in our hospital from January 2014 to January 2018 were selected as the research objects. After the patients were numbered in accordance with the order of admission, according to the random number table the patients were, divided into the experimental group and the control group with 49 patients in each group. Patients in the control group were treated with intrahepatic bile duct catheterization under the guidance of routine X-ray, while patients in the experimental group were treated with intrahepatic bile duct catheterization under the guidance of ultrasound. The number of punctures, the operation time and the incidence of postoperative complications were compared between the two groups. The patients in the two groups were followed up for 3 months. The residual rate and treatment effect of the stones were compared between two groups. Results: (1)The number of punctures and the operation time of experimental group were significantly leower than those of the control group(P<0.05). (2) The postoperative complication rate of experimental group was 4.08%, which was significantly lower than that of the control group(20.41%, P<0.05). (3)The residual rate of stones was 2.04% (1/49) in the experimental group at 3 months after operation, and the residual rate of stones in the control group and experimental group was 14.29% (7/49), 2.04% (1/49) at 3 months after opreration, which was significantly lower in the experimental group than that of the control group (P<0.05). (4) At 3 months after operation, the total effective rate of experimental group was 97.96%, which was significantly higher than that of the control group 81.63%(P<0.05). Conclusion: Ultrasound-guided intrahepatic bile duct catheter has better therapeutic effect and safety in the treatment of intrahepatic bile duct stones complicated with obstruction compared with conventional X-ray guided intrahepatic bile duct catheterization. |
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