内镜下胆总管取石术的护理配合

Nursing of Endoscopic Extraction of Biliary Stones

目的探讨应用内镜对胆总管进行取石术的护理配合方法。方法采用回顾性方法总结73例胆总管结石患者取石过程中护理配合。结果取石成功率高,其中1次取净62例,占84.9%;2次取净9例,占12.3%;1例取石失败,占1.4%。术后无1例发生大出血、穿孔。结论内镜下胆总管取石术是一项治疗效果确切、创伤小、并发症低、恢复快、治疗费用低廉的手术。良好的护理配合,可缩短手术时间,减少并发症的发生。

Objective To discuss on the use of endoscopic stone in the common bile duct to take care with methods. Methods Introduction of common bile duct stones were 73 cases of stones in the process of care and experience with the analysis of elements. Results Stone extraction was performed with a high success rate： successful stone removal in the initial session was accomplished in 62 patients（84.9%）; and retrieval of bile duct stones was achieved in 2 patients（12.3%） with repeated extraction, only one case（1.4%） failed in the aspect of complications. And also, none of the post haemorrhage perforation. Conclusion Removal of the stones by endoscopic sphincterotomy is a safe and effective therapy which has a low complications and costs. The results suggest that a good nursing skill may shorten the operation time and reduce the incidence of complication.