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目的研究内镜下逆行胰胆管造影术对于治疗胆囊切除术后的胆总管结石的患者的疗效,探究对于胆囊切除术后出现胆总管结石的患者的有效合理的治疗方法。方法选取2014年3月~2016年10月我院收治的胆囊切除术后胆总管结石的患者100例作为研究对象,按照随机分配的原则将其分为对照组和观察组,各50例。对照组实行常规的治疗方法,观察组进行的是胰胆管造影术进行治疗,对比并观察两组患者的治疗有效率。结果一段时间的诊治护理后观察,观察组的治疗有效率明显的要好于对照组的治疗有效率,观察组的结果显示,成功进行插管并将结石去除的患者为35例,碎石后将结石去除的患者为10例,插管艰难而进行针状刀预切开后顺利插管并去除结石的患者为4例,因为术中出血过多而导致失败的患者为1例。两组的情况对比,差异有统计学意义(P<0.05)。结论胰胆管造影术治疗胆总管结石具有显著的疗效,具有微创、治疗科学高效、不良反应较少、不出现病死率的优势。这种方法值得在临床上推广和应用。
Objective To study the efficacy of endoscopic retrograde cholangiopancreatography in the treatment of patients with choledocholithiasis after cholecystectomy and to explore the effective and reasonable treatment for patients with choledocholithiasis after cholecystectomy. Methods A total of 100 patients with cholecystolithiasis after cholecystectomy in our hospital from March 2014 to October 2016 were selected as the research objects and divided into control group and observation group according to the principle of random distribution. The control group to implement conventional treatment methods, the observation group was treated by cholangiopancreatography, contrast and observe the two groups of patients with treatment efficiency. Results After a period of diagnosis and treatment of nursing observation, observation group treatment efficiency was significantly better than that of the control group, the observation group results show that the successful intubation and removal of stones in patients with 35 cases of gravel There were 10 patients with stone removal, 4 patients with smooth intubation after needle-knife pre-incision and intubation, and 1 patient with failed bleeding due to excessive intraoperative bleeding. The two groups of contrast, the difference was statistically significant (P <0.05). Conclusions Cholangiopancreatography has the remarkable curative effect in the treatment of common bile duct stones. It has the advantages of minimally invasive treatment, high efficiency in treatment, less adverse reactions and no mortality. This method is worthy of clinical application and promotion.