| 刘懿,刘韬,冯静刚.一期或二期经皮经肝胆道镜碎石取石术治疗肝内胆管结石的疗效比较[J].安徽医药,2020,24(11):2245-2247. |
| 一期或二期经皮经肝胆道镜碎石取石术治疗肝内胆管结石的疗效比较 |
| Comparison of the efficacy and safety of primary or secondary PTCS for patients with intrahepatic bile duct stones |
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| DOI：10.3969/j.issn.1009?6469.2020.11.032 |
| 中文关键词: 胆结石 胆道外科手术 内窥镜检查，消化系统 胆管，肝内 经皮经肝胆道镜碎石取石术 疗效 安全性 |
| 英文关键词: Cholelithiasis Biliary tract surgical procedures Endoscopy,digestive system Bile ducts,intrahepatic Percuta? neous transhepatic choledochoscope lithotripsy Efficacy Safety |
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| 中文摘要: |
| 目的探讨一期或二期经皮经肝胆道镜碎石取石术(PTCS)对肝内胆管结石疗效及安全性的影响。方法选取凉山州中西医结合医院 2015年 1月至 2018年 8月收治肝内胆管结石病人 114例，其中行二期 PTCS术 74例设为 A组，行一期 PTCS术 40例设为 B组，比较两组结石清除率、手术时间、术中出血量、术后住院时间及术后并发症发生情况。结果 A组和 B组结石清除率比较，差异无统计学意义(85.14%比 87.50%，χ2＝0.120，P＝0.729)。 A组和 B组手术时间［(65.56±14.40)min比(63.40±13.72)min］和术中失血量［(24.73±5.10)mL比(26.07±5.87)mL］比较，差异无统计学意义(P＞0.05)； B组住院时间(5.22±1.74)d显著少于 A组(8.97±2.30)d(P＜0.05)； B组胆道出血发生率 17.50%高于 A组 4.05%(P＜0.05)。结论一期和二期 PTCS术用于肝内胆管结石治疗总体结石清除效果接近，其中一期手术可有效缩短术后住院时间，且安全性良好，更具临床应用价值。 |
| 英文摘要: |
| Objective To investigate the influence of primary or secondary PTCS on clinical efficacy and safety of patients with in?trahepatic bile duct stones.Methods A total of 114 patients with intrahepatic bile duct stones were admitted to Liangshan Prefec?ture Hospital of Integrated Traditional Chinese and Western Medicine from January 2015 to August 2018，and were divided into both groups including A group(74 patients)with secondary PTCS and B group(40 patients)with primary PTCS；and the stone clearance rate，operation time，intraoperative bleeding volume，hospital staying time and complications occurrence after operation of both groups were compared.Results There was no significant difference in the stone clearance rate between 2 groups(85.14% vs. |
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