摘要
目的综合分析比较肝胆管结石感染患者行切开胆总管T管引流术及胆道镜检查+切开胆总管T管引流术的疗效,为治疗肝胆管结石感染患者提供临床依据。方法选取2013年11月-2014年12月医院26例肝胆管结石感染的患者,将其随机分为试验组与对照组,每组各13例,试验组患者实施胆道镜检查+切开胆总管T管引流术,对照组患者实施常规切开胆总管T管引流术,观察比较两组患者的术后指标及排石通畅率,数据采用SPSS12.0统计软件进行处理分析。结果试验组患者的出血量为(178.80±20.65)ml,显著低于对照组的(223.60±41.21)ml,差异有统计学意义(P<0.05);试验组患者的皮下脂肪液化、结石残留发生率分别为15.38%、7.69%,均显著低于对照组的38.46%、30.76%,差异有统计学意义(P<0.05);试验组患者的排石通畅率为95.66%,高于对照组的81.22%,差异有统计学意义(P<0.05)。结论采取胆道镜检查+切开胆总管T管引流术优于常规切开胆总管T管引流术,在肝胆管结石感染患者中的临床疗效显著。
OBJECTIVE To comprehensively analyze and compare the curative effects of cutting the common bile duct T tube drainage and biliary endoscopy plus cutting the common bile duct T tube drainage on treatment of the hepatolithiasis patients with infections so as to provide guidance for clinical treatment of the hepatolithiasis patients with infections.METHODS A total of 26 hepatolithiasis patients with infections who were treated in the hospital from Nov 2013 to Dec 2014 were enrolled in the study and randomly divided into the experimental group and the control group,with 13 cases in each.The experimental group was treated with biliary endoscopy plus cutting the common bile duct T tube drainage,while the control group was given the cutting the common bile duct T tube drainage.The postoperative indicators and the rate of smooth removal of calculi were observed and compared between the two groups of patients,and the statistical analysis of data was performed with the use of SPSS12.0software.RESULTS The bleeding volume of the experimental group was(178.80±20.65)ml,significantly less than(223.60±41.21)ml of the control group(P〈0.05).The incidence of subcutaneous fat liquefaction was 15.38%in the experimental group,significantly lower than 38.46%in the control group;the incidence of residual stone was 7.69%in the experimental group,significantly lower than 30.76%in the control group(P〈0.05).The rate of smooth removal of calculi of the experimental group was 95.66%,higher than 81.22% of the control group,and there was significant difference(P〈0.05).CONCLUSION The biliary endoscopy plus cutting the common bile duct T tube drainage is superior to the conventional cutting the common bile duct T tube drainage in the clinical efficacy of treatment of the hepatolithiasis patients with infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第3期636-637,640,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金-河南人才培养联合基金资助项目(U1304818)
关键词
肝胆管结石
感染
切开胆总管
T管引流术
Hepatolithiasis
Infection
Cutting the common bile duct
T tube drainage