[1]李巧梅,刘洁.十二指肠镜联合钬激光、中药治疗肝内外胆管结石的临床观察[J].西部中医药,2012,25(09):64-65.
　LI Qiao-mei,LIU Jie.Duodenoscope, Holmium-Laser and Herbs in Treating Hepatic & Extra-hepatic Bile Duct Stones[J].Western Journal of Traditional Chinese Medicine,2012,25(09):64-65.
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十二指肠镜联合钬激光、中药治疗肝内外胆管结石的临床观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
25
期数:
2012年09期
页码:
64-65
栏目:
出版日期:
2012-09-15

文章信息/Info

Title:
Duodenoscope, Holmium-Laser and Herbs in Treating Hepatic & Extra-hepatic Bile Duct Stones
文章编号:
1004-6852(2012)09-0064-02
作者:
李巧梅，刘洁
安康市中医医院，陕西 安康 725000
Author(s):
LI Qiao-mei, LIU Jie
Ankang Hospital of Traditional Chinese Medicine, Ankang 725000, China
关键词:
肝内外胆管结石; 腹腔镜; 钬激光; 手术配合
Keywords:
hepatic and extra-hepatic bile duct stones;  laparoscope;  holmium-laser;  surgery cooperation
分类号:
R575.6
文献标志码:
B
摘要:
目的：探讨腹腔镜联合钬激光、中药治疗肝内外胆管结石的临床疗效。方法：将189例肝内外胆管结石患者分为治疗组89例，对照组100例。2组均行连续硬膜外麻醉，患者取低截石位，给予常规腹腔镜联合钬激光碎石治疗，治疗组于术后同时给予排石汤。结果：治疗组手术时间、术中出血量、住院时间、尿液转清时间均少于对照组(P＜0.05)。治疗组结石单次全部清除率明显高于对照组(P＜0.05)，2组并发症情况对比无明显差异(P＞0.05)。结论：腹腔镜联合钬激光、中药治疗肝内外胆管结石临床疗效显著。
Abstract:
Objective: To explore clinical efficacy of laparoscope, holmium-laser and herbs in treating hepatic and extra-hepatic bile duct stones. Method: All 189 patients were allocated into 89 cases in treatment group and 100 cases in control group. Both groups took lithotomy position and were administered with conventional laparoscope and holmium-laser after continuous epidural anesthesia was conducted, observation group were also given with PaiShiTang. Result: Treatment group was less than control group in surgery time, bleeding amount in operation, hospitalization time and urine cleared time(P＜0.05). Treatment group was higher than control group in single complete clearance rate (P＜0.05). Comparison of both groups had no significant difference in complications (P＞0.05). Conclusion: Laparoscope combined with holmium-laser and herbs are effective in treating hepatic and extra-hepatic bile duct stones.

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备注/Memo

备注/Memo:
收稿日期：2012-04-20 作者简介：李巧梅(1978—)，女，本科，主管护师。研究方向：外科系统的手术配合及管理。
更新日期/Last Update: 2012-09-15