[1]谭英生,黄 凯,王 航.输尿管镜对复杂性肝胆管结石患者结石清除率及术后恢复时间的影响[J].医学信息,2024,37(23):82-85.[doi:10.3969/j.issn.1006-1959.2024.23.019]
　TAN Yingsheng,HUANG Kai,WANG Hang.Effect of Ureteroscopy on Stone Clearance Rate and Postoperative Recovery Time in Patients with Complex Hepatolithiasi[J].Journal of Medical Information,2024,37(23):82-85.[doi:10.3969/j.issn.1006-1959.2024.23.019]
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输尿管镜对复杂性肝胆管结石患者结石清除率及术后恢复时间的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年23期
页码:
82-85
栏目:
论著
出版日期:
2024-12-01

文章信息/Info

Title:
Effect of Ureteroscopy on Stone Clearance Rate and Postoperative Recovery Time in Patients with Complex Hepatolithiasi
文章编号:
1006-1959（2024）23-0082-04
作者:
谭英生; 黄 凯; 王 航
余干楚东医院普外一科，江西 余干 335100
Author(s):
TAN Yingsheng; HUANG Kai; WANG Hang
The First Department of General Surgery,Yugan Chudong Hospital,Yugan 335100,Jiangxi,China
关键词:
输尿管镜; 复杂性肝胆管结石; 气压弹道碎石术; 结石清除率; 术后恢复时间
Keywords:
Ureteroscope; Complicated hepatolithiasis; Pneumatic lithotripsy; Stone clearance rate; Postoperative recovery time
分类号:
R657.4+2
DOI:
10.3969/j.issn.1006-1959.2024.23.019
文献标志码:
A
摘要:
目的 探讨输尿管镜对复杂性肝胆管结石患者结石清除率及术后恢复时间的影响。方法 选取2020年6月-2023年6月余干楚东医院收治的70例复杂性肝胆管结石患者为研究对象，按照随机数字表法分组，每组35例。对照组实施传统开腹手术治疗，研究组行输尿管镜气压弹道碎石术治疗。比较两组术后恢复指标（胃肠功能恢复时间、住院时间、下床活动时间）、手术效果、并发症（胆漏、肝脓肿、胸腔积液、切口感染、肺部感染、胆道出血）发生率、应激反应指标[血清皮质醇（Cor）、去甲肾上腺素（NE）、超氧化物歧化酶（SOD）、丙二醛（MDA）]、结石清除率。结果 研究组胃肠功能恢复时间、下床活动时间、住院时间均低于对照组（P＜0.05）；研究组手术效果优于对照组，术后并发症发生率低于对照组（P＜0.05）；手术后，两组应激反应水平均优于手术前，且研究组应激反应水平优于对照组（P＜0.05）。术后3 d、术后1个月，研究组结石清除率均高于对照组（P＜0.05）。结论 输尿管镜在复杂性肝胆管结石患者治疗中的应用效果确切，可以加快患者术后恢复速度，降低术后并发症发生率和应激反应，提高结石清除率。
Abstract:
Objective To investigate the effect of ureteroscopy on stone clearance rate and postoperative recovery time in patients with complex hepatolithiasis.Methods A total of 70 patients with complicated hepatolithiasis admitted to Yugan Chudong Hospital from June 2020 to June 2023 were selected as the research objects and divided into two groups according to the random number table method, with 35 patients in each group. The control group was treated with traditional open surgery, and the study group was treated with ureteroscopic pneumatic ballistic lithotripsy. The postoperative recovery indexes (gastrointestinal function recovery time, hospitalization time, ambulation time), surgical effect, incidence of complications (bile leakage, liver abscess, pleural effusion, incision infection, pulmonary infection, biliary tract hemorrhage), stress response index [serum cortisol (Cor), norepinephrine (NE), superoxide dismutase (SOD), malondialdehyde (MDA)] and stone clearance rate were compared between the two groups.Results The recovery time of gastrointestinal function, the time of getting out of bed and the time of hospitalization in the study group were lower than those in the control group (P<0.05). The surgical effect of the study group was better than that of the control group, and the incidence of postoperative complications was lower than that of the control group (P<0.05). After operation, the stress response levels of the two groups were better than those before operation, and the stress response levels of the study group were better than those of the control group (P<0.05). At 3 days and 1 month after operation, the stone clearance rate of the study group was higher than that of the control group (P<0.05).Conclusion Ureteroscopy is effective in the treatment of patients with complex hepatolithiasis, which can speed up the recovery of patients after operation, reduce the incidence of postoperative complications and stress response, and improve the stone clearance rate.

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更新日期/Last Update: 1900-01-01