纤维胆道镜联合利胆排石汤治疗肝胆管结石240例

Clinical Analysis on Choledochofiberscope and Lidan Paishi Decoction Treatment of Hepatic Duct Stones

目的:探讨肝胆管结石手术中和术后应用纤胆镜并联合利胆排石汤治疗方法的临床疗效。方法:将择期手术治疗的肝胆管结石患者240例随机分为两组。A组120例术中配合应用纤胆镜治疗,B组120例术后应用纤胆镜治疗,两组均联合利胆排石汤治疗,比较两组残石率及A组术中纤胆镜结石取净率与B组纤胆镜结石取净率。结果:两组残余结石共30例,总残石率为12.5%。其中A组残余结石8例,残石率为6.67%;B组残余结石22例,残石率为18.33%,两组差异有统计学意义(P<0.05);A组术中纤胆镜结石取净率为85%,B组术后纤胆镜取净率为61.54%,两者差异有统计学意义(P<0.05)。结论:肝胆管结石术中或术后应用纤胆镜并联合利胆排石汤治疗有助于降低残石率,应力争在术中取净结石。

Objective： The applicatiao of choledochofiberscope and Lidan Paishi Decoction in the treatment of operation and postoperative hepatic duct stones were studied. Methods ：240 patients were divided into two groups randomly. One group used cho- ledochofiberscope in operation, but the other used it after operation, both two groups were given Lidan Paishi Decoction after oper- ation. Then the two groups＇ residual rate of stone and the two groups＇ clearance rate of stone were compared. Results ： There were 30 patients who didn＇t take out the stone completely ,the rate was 12.5% ,8 patients in A,the rate was 6.67% ,22 patients in B, the rate was 18.33% ,the difference had statisfical significance. Conclusion：The choledochofiberscopic stone removing technique and Lidan Paishi Decoction is an effective approach for operation and postoperative residual stones in bile duct, we should try to take out the stones completely in surgery.