期刊文献+

肝胆管结石感染患者手术治疗效果分析 被引量:2

Curative effect of surgery on treatment of hepatolithiasis patients with infections
原文传递
导出
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
  • 相关文献

参考文献9

  • 1何军明,刁竞芳,谭志健.肝切除联合纤维胆道镜治疗复杂肝胆管结石40例[J].实用医学杂志,2010,26(14):2607-2608. 被引量:40
  • 2黄军利,耿小平,李文岗,陈福真,苏昭杰,刘斌,夏晓刚,肖林峰.精准肝切除联合电子胆道镜在肝胆管结石治疗中的应用[J].中华普通外科杂志,2015,30(6):428-431. 被引量:30
  • 3滕艺萍.B超、CT、ERCP和MRCP在肝胆管结石并发肝胆管癌诊断中的效果比较[J].山东医药,2011,51(6):70-71. 被引量:19
  • 4范应方,方驰华,陈建新,项楠,杨剑,李克晓.三维可视化技术在精准肝胆管结石诊治中的应用[J].南方医科大学学报,2011,31(6):949-954. 被引量:38
  • 5Hur H,Si Y,Kang WK,et al.Effects of early oral feeding on surgical outcomes and recovery after curative surgery for gastriccancer:pilot study results[J].World J Surg,2009,33(7):1454-1458.
  • 6Pan MJ.An analysis of the curative effect of 320cases of gastric cancer treated with li wei hua jiedecoction in combination with surgical intervention and chemotherapy[J].Zhong Xi Yi Jie He Za Zhi,1986,6(5):268-270.
  • 7Hur H1,Si Y,Kang WK,et al.Effects of early oral feeding on surgical outcomes and recovery after curative surgery for gastriccancer:pilot study results[J].World J Surg,2009,33(7):1454-1458.
  • 8Yoshida I,Sakurai Y,Komori Y,et al.Successful downstaging by S-1-based chemotherapy followed by surgical resections for gastriccarcinoma with extensive distant lymph node metastasis-report of two cases and a review ofcases with surgical resection after downstaging by S-1-based chemotherapy[J].Hepatogastroenterology,2005,52(63):978-984.
  • 9Wu T,Chang MJ,Xu YJ,et al.Protective effect of Calculus Bovis Sativus on intrahepatic cholestasis in rats induced byα-naphthylisothiocyanate[J].Am J Chin Med,2013,41(6):1393-1405.

二级参考文献24

共引文献121

同被引文献21

引证文献2

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部