摘要
目的:探讨第五代EMS超声气压弹道碎石清石系统应用于肝内外胆管结石的疗效和安全性。方法:回顾性分析2013年1月—2015年12月经B超或CT证实为肝内外胆管结石患者59例。其中30例应用超声气压弹道碎石清石系统方案治疗作为EMS组,其余29例采用传统的胆道镜手术方案治疗作为胆道镜组,随访至术后3个月。结果:EMS组较胆道镜组一期结石取尽率增加(P<0.05);手术时间和总住院时间降低(P<0.05);而术中胆道出血率、胆管损伤率和术后胆道感染率、死亡率及肝功能两组患者差异无统计学意义(P>0.05)。结论:第五代EMS超声气压弹道碎石清石系统应用于肝内外胆管结石的治疗,高效安全。
Objective： The application of a combined ultrasound and pneumatic lithotripter for cholelithiasis was investigated. Methods： A total of 59 cases of cholelithiasis diagnosed by ultrasonography and CT were included in the study. All the patients had surgical treatment from January 2013 to December 2015, in which 30 patients were treated with a combined ultrasound and pneumatic lithotripter protocol （EMS group）, and 29 patients were treated with traditional choledochoscope protocol（control group）. All the patients were followed up for 3 months postoperation. The outcomes of patients in EMS group and control group were compared. Results： The postoperative stone free rate after the first operation is higher in EMS group than in control group（P〈0.05）. The operation time and total lengths of hospital stay were shorter in EMS group than in control group（P〈0. 05）. There was no significant difference in intraoperative hematobilia rate, intraoperative bile duct injury rate, postoperative biliary tract infection rate, hepatic biochemical index and mortality between two groups（P〉0.05）. Conclusion： The combined ultrasound and pneumatic lithotripter is useful for treatment of cholelithiasis.
出处
《中国现代普通外科进展》
CAS
2017年第6期451-453,457,共4页
Chinese Journal of Current Advances in General Surgery
关键词
超声气压弹道碎石清石系统
胆道镜
肝内外胆管结石
疗效
安全性
Combined ultrasound and pneumatic lithotripter
Choledochoscope
Cholelithiasis
Clinical efficacy
Clinical safety
