Application of ureteroscope combined with holmium laser in hepatolithiasis complicated with biliary cirrhosis
10.3760/cma.j.cn431274-20200926-01323
- VernacularTitle:输尿管硬镜联合钬激光在肝胆管结石合并胆汁性肝硬化疾病中的应用
- Author:
Chen CHEN
1
;
Lei WANG
;
Xintian WANG
;
Hao LI
;
Zili HE
;
Yang MI
Author Information
1. 湖南师范大学附属第一医院（湖南省人民医院）肝胆五科，长沙 410000
- Keywords:
Liver cirrhosis, biliary;
Hepatolithiasis;
Ureteroscopy;
Holmium laser
- From:
Journal of Chinese Physician
2021;23(10):1506-1509
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of ureteroscope combined with holmium laser in patients with hepatolithiasis complicated with biliary cirrhosis.Methods:The clinical data of 89 patients with hepatolithiasis complicated with biliary cirrhosis treated in the hepatobiliary department of Hunan Provincial People's Hospital from February 2014 to December 2019 were collected and divided into two groups: group A was routine operation group and group B was ureteroscopy and holmium laser technology group. The clinical data of the two groups were compared and analyzed respectively.Results:The operation time in group B was less than that in group A [ (302.6±96.7)min vs (349.2±105.6)min, P<0.05], with statistically significant difference; The amount of intraoperative bleeding in group B was less than that in group A [(227.0±197.3)ml vs (331.4 ± 277.3)ml, P<0.05], with statistically significant difference; The postoperative hospital stay in group B was shorter than that in group A[(11.5±4.1)d vs (13.8±5.1)d, P<0.05], with statistically significant difference; The incidence of postoperative complications in group B was lower than that in group A (2.44% vs 18.75%, P<0.05), with statistically significant difference. The liver resection rate in group B was lower than that in group A (29.27% vs 52.08%, P<0.05). Conclusions:Through the establishment of a reasonable access to the liver, the application of ureteroscope and holmium laser technology in patients with hepatolithiasis complicated with biliary cirrhosis can achieve better diagnosis and treatment results, and this technology can be gradually promoted and applied in the clinic.
