民族地区胆囊结石术后继发胆总管结石ERCP治疗临床疗效分析(1)
摘要：目的：探究民族地区胆囊结石术后继发胆总管结石ERCP治疗临床治疗效果。方法：采用随机性的原则从2013年12月到2015年4月期间我院接收的65例民族地区胆囊结石术后继发胆总管结石患者中选出60例患者最为研究对象，并将这60例患者随机的分为实验组和对照组，实验组30例患者在治疗过程中使用的是ERCP的治疗方法，对照组30例患者在治疗过程中使用的是普通外科手术治疗，对两组患者的治疗效果进行比较分析。结果：在手术时间、术中出血量、术后排便时间以及术后排气时间等指标方面，实验组患者显著优于对照组患者，而且在术后并发症方面，实验组也是显著小于对照组的。结论：对于民族地区胆囊结石术后继发胆总管结石患者的治疗采用ERCP的方法效果显著，值得在临床上推广使用。
关键词：民族地区；胆囊结石术；继发胆总管结石；ERCP治疗；临床效果分析
Abstract： Objective： To explore the clinical curative effect of ERCP treatment for secondary choledocholithiasis after gallstone surgery in ethnic areas. Methods： The principle of randomness was adopted for the collection of clinical data from patients who came from ethnic areas. These patients were admitted in our hospital at the time of February 2013 to February 2014； 65 cases were randomly selected from 60 cases for study， and they were randomly divided into an experimental group of 30 cases and a control group of 30 cases. 30 patients in the experimental group received ERCP in the course of treatment， and 30 patients in the control group received general surgery operation in the course of treatment. The treatment effects of the two groups of patients were compared and analyzed. Results： The experimental group？s operation time， intraoperative blood loss， postoperative defecation time and postoperative aerofluxus time were significantly better than that of the control group. The experimental group？s postoperative complications were also significantly less than that of the control group. Conclusion： It suggests significant effects on the ethnic areas patients with secondary choledocholithiasis after gallstone surgery who receive ERCP treatment， this kind of treatment method is worthy of promotion and application in clinical practice.
, 百拇医药
Keywords： Ethnic areas； gallstone surgery； secondary choledocholithiasis； ERCP treatment； clinical effect analysis
胆囊结石属于临床上的一种多发病和常见病，根据相关资料显示，近年来胆囊结石的发病率呈现出上升的趋势，特别是在一些民族地区这种上升的趋势更加明显，胆囊结石由于临床症状不是很明显，一般不易察觉，通常是在体检的过程中发现的，同时在胆囊结石术后常常会出现继发胆总管结石，此时需要进一步的手术治疗[1]，本文主要对我院随机选择的60例民族地区胆囊结石术后继发胆总管结石治疗的相关资料进行回顾分析，现将其中主要的治疗方法以及治疗效果报道如下：
1、临床资料及方法
1.1一般资料
采用随机性的原则从2013年2月到2014年2月期间我院接收的65例民族地区胆囊结石术后继发胆总管结石患者中选出60例患者最为研究对象，并将这60例患者随机的分为实验组和对照组，实验组30例患者中男性20例，女性10例，年龄主要介于23岁到73岁之间，平均年龄为48岁，病程介于3个月到25个月之间，结石的平均直径为1.9cm，平均每例患者体内的结石量为4.2个；对照组30例患者中男性18例，女性12例，年龄主要介于22岁到76岁之间，平均年龄为49岁，病程介于4个月到23个月之间，结石的平均直径为1.8cm，每例患者体内的平均结石数量为3.9个。所有患者在术前使用B超检查后确诊为胆囊结石术后继发胆总管结石，部分患者临床症状不明显，部分患者表现为恶心呕吐以及发热等。所有患者中均不包括严重的肝肾功能不全、心脏病、急性胰腺炎、胆道感染以及精神异常的患者；实验组和对照组患者在性别、比例、病程、结石直径、结石数量等基本资料方面差异不明显，故具有一定的可比性。, 百拇医药(万灵 双慧子)
关键词：民族地区；胆囊结石术；继发胆总管结石；ERCP治疗；临床效果分析
Abstract： Objective： To explore the clinical curative effect of ERCP treatment for secondary choledocholithiasis after gallstone surgery in ethnic areas. Methods： The principle of randomness was adopted for the collection of clinical data from patients who came from ethnic areas. These patients were admitted in our hospital at the time of February 2013 to February 2014； 65 cases were randomly selected from 60 cases for study， and they were randomly divided into an experimental group of 30 cases and a control group of 30 cases. 30 patients in the experimental group received ERCP in the course of treatment， and 30 patients in the control group received general surgery operation in the course of treatment. The treatment effects of the two groups of patients were compared and analyzed. Results： The experimental group？s operation time， intraoperative blood loss， postoperative defecation time and postoperative aerofluxus time were significantly better than that of the control group. The experimental group？s postoperative complications were also significantly less than that of the control group. Conclusion： It suggests significant effects on the ethnic areas patients with secondary choledocholithiasis after gallstone surgery who receive ERCP treatment， this kind of treatment method is worthy of promotion and application in clinical practice.
, 百拇医药
Keywords： Ethnic areas； gallstone surgery； secondary choledocholithiasis； ERCP treatment； clinical effect analysis
胆囊结石属于临床上的一种多发病和常见病，根据相关资料显示，近年来胆囊结石的发病率呈现出上升的趋势，特别是在一些民族地区这种上升的趋势更加明显，胆囊结石由于临床症状不是很明显，一般不易察觉，通常是在体检的过程中发现的，同时在胆囊结石术后常常会出现继发胆总管结石，此时需要进一步的手术治疗[1]，本文主要对我院随机选择的60例民族地区胆囊结石术后继发胆总管结石治疗的相关资料进行回顾分析，现将其中主要的治疗方法以及治疗效果报道如下：
1、临床资料及方法
1.1一般资料
采用随机性的原则从2013年2月到2014年2月期间我院接收的65例民族地区胆囊结石术后继发胆总管结石患者中选出60例患者最为研究对象，并将这60例患者随机的分为实验组和对照组，实验组30例患者中男性20例，女性10例，年龄主要介于23岁到73岁之间，平均年龄为48岁，病程介于3个月到25个月之间，结石的平均直径为1.9cm，平均每例患者体内的结石量为4.2个；对照组30例患者中男性18例，女性12例，年龄主要介于22岁到76岁之间，平均年龄为49岁，病程介于4个月到23个月之间，结石的平均直径为1.8cm，每例患者体内的平均结石数量为3.9个。所有患者在术前使用B超检查后确诊为胆囊结石术后继发胆总管结石，部分患者临床症状不明显，部分患者表现为恶心呕吐以及发热等。所有患者中均不包括严重的肝肾功能不全、心脏病、急性胰腺炎、胆道感染以及精神异常的患者；实验组和对照组患者在性别、比例、病程、结石直径、结石数量等基本资料方面差异不明显，故具有一定的可比性。, 百拇医药(万灵 双慧子)