两种不同PTCSL路径治疗肝胆管结石的临床效果比较

Comparative effect analysis on hepatolith patients by two different path percutaneous transhepatic cholangioscopic lithotripsy

目的:探究经皮肝胆道镜碎石(PTCSL)两种不同路径治疗肝胆管结石的效果。方法:选取2013年6月—2014年6月收治的肝胆管结石患者100例为研究对象,随机将患者分成对照组(一步造瘘取石法)和观察组(采取二步造瘘取石法),比较两组患者的结石取净率、并发症发生率、出血量以及住院时间。结果:两组患者结石取净率、术后并发症发生率和死亡率差异无统计学意义(P>0.05)。观察组患者住院时间和出血量显著少于对照组(P<0.05)。结论:PTCSL技术是临床治疗肝胆管结石的有效手段,两种路径都具有良好的临床疗效,但相对而言二步造瘘取石法的效果优于一步造瘘取石法。

Objective： To explore the comparative effect on hepatolith patients by two different path percutaneous transhepatic cholangioscopic lithotripsy. Methods： 100 cases hepatolith patients treated from June 2013 to June 2014 were selected as the observation objects. They randomly divided patients into the control group（step colostomy lithotomy method）and the observation group（take colostomy lithotomy method）, the calculi take net rate, complications, blood loss and hospital stay were compared of two groups patients. Results： There were no significant differences in the stone take net rate, the complications occurrence and mortality of two groups patients（P〉0.05）, Hospitalization time and the blood loss of the observation group were less than that of the control group（P〈0.05）. Conclusions： Percutaneous transhepatic cholangioscopic lithotripsy technology is an effective method for hepatolith, treatment, two kinds of operation method has good clinical curative effect, but two step method colostomy lithotomy is better than that of the colostomy lithotomy method, relatively, in general, we should give priority to the two-step method colostomy lithotomy surgery.