取石球囊与网篮在经内镜逆行胰胆管造影术治疗胆总管结石中的效果比较

Comparison of the effect of balloon nephrolithotomy and net basket nephrolithotomy in endoscopic retrograde cholangiopancreatography for choledocholithiasis

目的探讨取石球囊与取石网篮在经内镜逆行胰胆管造影术(ERCP)治疗胆总管结石中的效果。方法选取2018年8月至2021年5月福建医科大学附属南平第一医院收治的100例胆总管结石患者作为研究对象,按照随机数字表法分为球囊组(n=50)和网篮组(n=50)。球囊组采用取石球囊治疗,网篮组采用取石网篮治疗,比较两组的取石效果、操作时间、取石时间、临床指标及术后并发症总发生率。结果网篮组的取石成功率为96.00%,高于球囊组的82.00%,差异有统计学意义(P<0.05)。球囊组操作时间、取石时间短于网篮组,差异有统计学意义(P<0.05)。两组患者的并发症总发生率比较,差异无统计学意义(P>0.05);两组患者的术中出血量、胃肠功能恢复时间、术后进食时间、术后住院时间及总费用比较,差异无统计学意义(P>0.05)。结论取石球囊和取石网篮用于经ERCP治疗胆总管结石患者中均能获得良好的治疗效果,且并发症较少,取石网篮的成功率较高,取石球囊更快捷,可根据患者情况选择合适的治疗方法。

Objective To investigate the effect of balloon nephrolithotomy and net basket nephrolithotomy in endoscopic retrograde cholangiopancreatography(ERCP)for choledocholithiasis.Methods A total of 100 patients with choledocholithias admitted to the Nanping First Hospital Affiliated to Fujian Medical University from August 2018 to May 2021 were selected as research objects and divided into balloon group(n=50)and net basket group(n=50)according to random number table method.The balloon group was treated with balloon nephrolithotomy,and the net basket group was treated with net basket nephrolithotomy.The stone extraction effect,operation time,stone extraction time,general clinical indicators and postoperative complications were compared between the two groups.Results The success rate of stone removal in the net basket group was 96.00%,higher than that in the balloon group(82.00%),and the difference was statistically significant(P<0.05).The operation time and stone removal time of the balloon group were shorter than those of the net basket group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between two groups(P>0.05).There were no significant differences in intraoperative blood loss,gastrointestinal function recovery time,postoperative feeding time,postoperative hospital stay and total cost between the two groups(P>0.05).Conclusion In the treatment of patients with choledocholithiasis by ERCP,both stone balloon and stone basket can achieve good therapeutic effect with fewer complications,and the success rate of basket nephrolithotomy is higher and the balloonnephrolithotomy is faster.Suitable treatment methods can be selected according to the patients'conditions.