Study on short-term and long-term effects of PTCSL on hepatolithiasis
10.3969/j.issn.1006-5725.2014.22.012
- VernacularTitle:经皮胆道硬镜在治疗肝胆管结石近期、远期疗效的研究
- Author:
Ping WANG
;
Xiaowu CHEN
;
Chen YE
;
Zixuan ZHOU
;
Yanmin LIU
- Publication Type:Journal Article
- Keywords:
Hepatolithiasis;
PTCSL：Laparoscopic exploration lithotomy
- From:
The Journal of Practical Medicine
2014;(22):3579-3582
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the short-term and long-term effects ofapplication of Percutaneous Transhepatic Cholangioscopic Lithotripsy on the treatment of hepatolithiasis. Methods Eighty-threecases of hepatolithiasis were treated with the PTCSL and the other 87cases were treated with the Laparoscopic exploration lithotomy.The general clinical parameters , curative effect in the near future and long-term curative effect were anlyzed. Results No significant differences were found between the two groups in the general clinical parameters (P>0.05). The operation time,intraoperative blood transfusion volume and intraoperatve blood soss in group A were significantly shorter than those in group B(P<0.05, respectively). The original calculi residual rate was 2.4%, the eventually calculi residual rate was 4.8%and the recurrent cholangitis was4.8%in the model of PTCSL (Group A). The original calculi residual rate was 18.4%, the eventually calculi residual rate was 23.0% and the recurrent cholangitis was 23.0%in the model of Laparoscopic exploration lithotomy (Group B), with significant difference between these two groups (P<0.05). The calculi recurrence rate of group A was 12.0%,the calculi recurrence rate of group B was 22.9%,withno significant difference between these two group (P>0.05). No patients died in each group. The results of complications showed thatthe incidence of residual calculi of group A was significantly lower than that of group B (P<0.01). Conclusions Compared with the model of Laparoscopic exploration lithotomy, the PTCSL was more safe, minimally invasive and effective. The short-term efficacy of the model of PTCSL was better than that of the model of Laparoscopic exploration lithotomy.
