内镜逆行胰胆管造影治疗胆总管结石疗效观察

Study on efficacy of endoscopic retrograde cholangiopancreatography (ERCP) in treatment of choledocholith

目的比较内镜逆行胰胆管造影技术与外科传统手术治疗胆总管结石的疗效。方法将220例患者随机分入内镜组(110例)和传统手术组(110例),分别采取内镜逆行胰胆管造影术和传统外科手术治疗,对两组患者治愈率、住院天数、腹痛缓解时间、出血量以及并发症等情况进行比较。结果内镜组与传统手术组治愈率分别为97.27%、96.36%,差异无统计学意义(P>0.05);内镜组患者住院天数、腹痛缓解时间及出血量均显著低于传统手术组(P<0.05);两组患者手术并发症发生率差异无统计学意义(P>0.05)。结论内镜逆行胰胆管造影术与传统手术疗效没有统计学差异,但具有恢复快、住院时间短,患者痛苦小,术中出血少等优点。

Objective To compare the efficacy of endoscopic retrograde cholangiopancreatography（ERCP） with traditional cholangiotomy in treatment of choledocholith.Methods A total of 220 patients with choledocholith were randomly assigned to ERCP group（n = 110 cases） and traditional cholangiotomy group（n = 110 cases）.The cure rate,days of hospitalization,duration of abdominal pain and amount of blood loss in both groups were observed and compared.Results The cure rates of ERCP group and traditional cholangiotomy group were 97.23% and 96.48% respectively.There was no significant difference in cure rate and incidence of postoperative complications between these 2 groups（P〈0.05）.The days of hospitalization,duration of abdominal pain and amount of blood loss in ERCP group were significantly lower than those of traditional operation group（P〈0.05）.Conclusion The efficacy of ERCP in treatment of choledocholith is same as traditional cholangiotomy.But it has advantages in shorter duration for recovery and days of hospitalization,and it is painless and less blood loss.