内镜下取石治疗结石性胆管炎对患者预后的影响分析

Analysis of the Effect of Endoscopic Stone Removal for Calculous Cholangitis on the Prognosis of Patients

目的探讨内镜下取石治疗结石性胆管炎对患者预后的影响。方法随机抽样法选取2018年6月—2019年5月该院180例结石性胆管炎患者。抽签法分组:对照组(90例)给予常规外科手术治疗,研究组(90例)给予内镜下乳头小切开联合球囊扩张(EST+EPBD)手术治疗。比较两组患者的治疗效果。结果研究组患者的治疗总有效率(94.4%),明显高于对照组(83.3%),差异有统计学意义(χ^2=4.194,P<0.05);研究组患者术后并发症的发生率(32.2%)低于对照组(58.9%),差异有统计学意义(χ^2=12.902,P<0.05);研究组患者的住院时间和手术时间及首次排气时间和下床时间均优于对照组,差异有统计学意义(P<0.05);研究组患者的生活质量(SF-36)指标评分高于对照组,差异有统计学意义(P<0.05)。结论结石性胆管炎患者中应用内镜下取石治疗可以使患者的治疗效果得到提高,减少术后并发症的发生,缩短患者的手术时间和住院时间,值得在临床推广。

Objective To investigate the effect of endoscopic stone removal on the prognosis of patients with calculous cholangitis.Methods Random sampling method selected 180 patients with calculous cholangitis in the hospital from June 2018 to May 2019.Grouping by lottery:the control group(90 cases)received conventional surgical treatment,and the study group(90 cases)received endoscopic micronipple incision combined with balloon dilatation(EST+EPBD)surgery.Compared the treatment effect of the two groups of patients.Results The total effective rate of treatment for patients in the study group(94.4%)was significantly higher than that of the control group(83.3%),and the difference was statistically significant(χ^2=4.194,P<0.05).The incidence of postoperative complications in the study group(32.2%)was lower than that in the control group(58.9%),and the difference was statistically significant(χ^2=12.902,P<0.05).The length of hospitalization and operation time,the time to first exhaust and the time to get out of bed in the study group were better than those in the control group,the difference was statistically significant(P<0.05);the quality of life(SF-36)index score of the study group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of endoscopic stone removal treatment in patients with calculous cholangitis can improve the treatment effect of patients,reduce the occurrence of postoperative complications,and shorten the operation time and hospital stay of patients.It is worthy of clinical promotion.