内镜下乳头小切开联合球囊扩张治疗胆总管结石68例分析

Analysis of 68 patients with common bile duct stones treated by small incision combined with balloon dilation under endoscope

目的研究内镜下乳头小切开(EST)联合球囊扩张(EPBD)治疗胆总管结石的临床有效性。方法选择收治的136例胆总管结石患者,依据手术方式进行分组,对照组(n=68)、观察组(n=68),对照组采取单纯EST治疗,观察组采取EST联合EPBD治疗。观察两组的平均手术时间、住院时间、一次性取石成功率、总取石成功率及术后并发症情况。结果观察组平均手术时间及住院时间均明显少于对照组,差异显著(P<0.05);观察组一次性取石成功率、总取石成功率明显高于对照组,差异显著(P<0.05);观察组术后并发症发生率明显低于对照组,差异显著(P<0.05)。结论内镜下乳头小切开联合球囊扩张治疗胆总管结石能提高取石成功率,减少住院时间,且操作时间短,并发症少,是安全、有效的治疗方法。

Objective To study the clinical efficacy of endoscopic papillary incision （EST） combined with balloon dila- tation （EPBD） in the treatment of common bile duct stones. Methods Totally 136 patients with common bile duct stones were divided into two groups according to the operation method, and the control group （ n = 68 ） and the observa- tion group （ n = 68 ） were selected, the control group was treated with EST alone, the observation group was treated with EST combined with EPBD. The average operation time, the length of stay, the success rate of one - time success rate, the total success rate of total success rate and postoperative complications of the two groups were observed. Results The average operation time and length of stay in the observation group were significantly less than that in the control group （ P 〈 0.05 ） ; In the observation group, the success rate of one - time success rate and total success rate were significantly higher than the control group; The difference was significant （P 〈 O. 05 ） ; The incidence of postoperative complications was significantly lower than that of the control group ; The difference was significant （P 〈 0.05 ）. Conclusion Endo- scopic incision combined with balloon dilatation in the treatment of common bile duct stones can improve the success rate of stone removal, reduce the length of stay in hospital. With short operation time and less complications, it is a safe and effective treatment method.