Evaluation of clinical therapeutic effects of choledochofiberscope in the treatment of biliary calculi
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摘要: 目的 探讨纤维胆道镜治疗肝胆管结石效果及其合理选择。方法 回顾性分析安徽医科大学附属六安医院2008-2012年300例肝胆管结石患者的资料，分析胆道镜治疗胆管结石的取石成功率、花费时间和并发症发生率。结果 单纯手术组100例，结石取净率为65.00%；胆道镜组200例，术中胆道镜取净率为91.96%，术后取净率为96.60%，行胆道镜手术组取净率高于单纯手术组，差异有统计学意义（χ2=23.35，P<0.001）,术中术后胆道镜比较差异无统计学意义（χ2=1.87,P=0.171）；术中术后胆道镜取石时间比较差异无统计学意义（t=0.67,P=0.263）；术中术后胆道镜并发症发生率比较差异无统计学意义（χ2=0.61,P=0.434）。结论 胆道镜的应用提高了取石成功率，术中与术后胆道镜都是理想的处理结石方式，需要依据患者病情做出合理的选择，不能强调术中胆道镜的作用而轻视了术后胆道镜的作用。Abstract: Objective To investigate the clinical effect of choledochofiberscope in the treatment of biliary calculi and its reasonable choice. Methods Retrospective analysis of 300 cases of biliary stones in a affiliated hospital of Anhui Medical University from 2008 to 2012 was conducted to analyze the success rate, time and postoperative complications. Results 100 case of simple surgery, stones take net rate was 65.00%, 200 cases of biliary endoscopy group, which combined choledochoscope with intraoperative treatment group stones to take net rate was 91.96%, postoperative choledochoscope stones treatment group was 96.60% of net take, choledochofiberscope was significantly greater than the simple surgery group, the difference was statistically significant (χ2=23.35,P<0.001), the difference of intraoperative and postoperative choledochofiberscope stone net rate was not statistically significant (χ2=1.87,P=0.171); the difference of intraoperative and postoperative biliary endoscopy take stone time was not statistically significant (t=0.67,P=0.263); the difference of intraoperative and postoperative choledochofiberscope complication rate was not statistically significant (χ2=0.61,P=0.434). Conclusions It is demonstrated that choledochoscope application reduced the calculi recurrence rate, intraoperative and postoperative choledochoscope is an ideal way of dealing with stones in the processing of stone, we need to make reasonable choice based on patient condition, not only emphasizes the role of intraoperative choledochoscope but negelect the effect of postoperative choledochoscope.
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Key words:
- Cholelithiasis /
- Postoperative complications /
- Epidemiologic methods
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