腹腔镜联合胆道镜和柴胡舒肝汤加减治疗胆管结石的临床效果观察

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摘要目的探讨腹腔镜联合胆道镜和柴胡舒肝汤加减治疗胆管结石的临床效果。方法选取我院2014年12月～2016年12月收治的120例胆管结石患者作为研究对象，按照治疗方式的不同分为研究组（50例）、对照组1（32例）、对照组2（38例）。对照组1采用腹腔镜联合胆道镜进行手术，对照组2采用传统的开腹手术治疗，研究组采用腹腔镜联合胆道镜和柴胡舒肝汤加减治疗，比较三组的临床疗效和术后恢复情况。结果研究组和对照组1的手术时间短于对照组2，术中出血量少于对照组2，结石清除率高于对照组2，差异有统计学意义（P＜0.05）。研究组的结石清除率显著高于对照组1，差异有统计学意义（P＜0.05）。研究组和对照组1的胃肠功能恢复时间、住院时间短于对照组2，并发症发生率低于对照组2，差异有统计学意义（P＜0.05）。研究组的并发症发生率低于对照组1，差异有统计学意义（P＜0.05）。结论腹腔镜联合胆道镜和柴胡舒肝汤加减治疗胆管结石效果显著，能够有效缩短手术时间及术后住院时间，减少术中出血量，提高结石清除率，有利于术后胃肠功能恢复，降低术后并发症发生率。

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	曾发庆

关键词 ：胆管结石, 腹腔镜联合胆道镜, 柴胡舒肝汤加减治疗

Abstract：ObjectiveTo explore the clinical efficacy of laparoscopy combined with choledochoscopy and Modified Chaihu Shugan Decoction in the treatment of bile duct stones.Methods120 patients with bile duct stones admitted to our hospital from December 2014 to December 2016 were selected as research subjects,all patients were divided into the study group (50 cases),the control group 1 (32 cases),the control group 2 (38 cases)according to the different treatment methods.The control group 1 was treated with laparoscopy combined with choledochoscopy surgery,the control group 2 was treated with traditional open surgery,the study group was treated with laparoscopy combined with choledochoscopy and Chaihu Shugan decoction.The clinical efficacy and postoperative recovery of the three groups were compared.ResultsThe operation time of the study group and the control group 1 was shorter than that of the control group 2,and the blood loss of the study group and the control group 1 was less than that of the control group 2,and the stone clearance rate of the study group and the control group 1 was higher than that of the control group 2,with significant difference (P＜0.05).The stone clearance rate in the study group was significantly higher than that in the control group 1, with significant difference(P＜0.05).The gastrointestinal function recovery time,hospitalization time of the study group and the control group 1 was shorter than that the control group 2,the incidence rate of complications of the study group and the control group 1 was lower than that of the control group 2,with significant difference(P＜0.05).The incidence rate of complications in the study group was lower than that in the control group 1,with significant difference (P＜0.05).ConclusionLaparoscopy combined with choledochoscopy and ChaiHu ShuGan Decoction in the treatment of bile duct stones has significant effect,can effectively shorten the operation time and hospitalization time after operation,reduce the amount of bleeding,improve the stone clearance rate,is conducive to the recovery of gastrointestinal function after surgery,reduce the incidence of postoperative complications.

Key words： Bile duct stone Laparoscopy combined with choledochoscopy Modified Chaihu ShuganDecoction for treatment

引用本文:

曾发庆. 腹腔镜联合胆道镜和柴胡舒肝汤加减治疗胆管结石的临床效果观察[J]. 中国当代医药, 2017, 24(11): 152-154.
ZENG Fa-qing. Clinical effect observation of laparoscopy combined with choledochoscopy and Modified Chaihu Shugan Decoction in the treatment of bile duct stones. 中国当代医药, 2017, 24(11): 152-154.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I11/152

[1]	沙米尔，丁佑铭，汪斌，等.腹腔镜联合胆道镜两种术式治疗胆囊结石合并胆总管结石的临床疗效比较[J].临床外科杂志，2016，24（11）：872-874.
[2]	沈海龙，狄长安，朱江.腹腔镜联合胆道镜保胆取石的临床疗效[J].中华普外科手术学杂志电子版，2015，9（4）：37-39.
[3]	郭跃华，张卓，马杨，等.胆道镜治疗术后肝内胆管结石并狭窄13年经验总结：附697例报告[J].中国普通外科杂志，2014，23（2）：141-146.
[4]	汪小万，赵中伟，崔杰，等.腹腔镜和胆道镜双镜联合治疗胆总管结石临床疗效观察[J].肝胆外科杂志，2014，22（4）：280-282.
[5]	韦韡，汪功理，张晓刚.肝叶切除术联合胆道镜治疗肝内胆管结石的疗效[J].安徽医学，2015，36（10）：1231-1233.
[6]	张峰，王湘君.加味大柴胡汤对腹腔镜胆囊切除患者术后胃肠功能恢复的影响[J].山东医药，2015，55（30）：88-89.
[7]	黄牛.大柴胡汤加味治疗腹腔镜术后伴肝硬化胆囊结石疗效观察[J].现代中西医结合杂志，2016，25（4）：411-413.
[8]	石珩.腹腔镜联合胆道镜治疗肝胆管结石的临床疗效观察[J].中国医药指南，2016，14（29）：75-76.
[9]	陈永标，池小斌，江艺，等.腹腔镜肝切除联合胆道镜治疗肝内外胆管结石36例[J].中国微创外科杂志，2016，16（9）：777-779.
[10]	傅江华，徐欣，王彦升，等.腹腔镜联合胆道镜胆总管探查术治疗胆管结石40例疗效观察[J].现代诊断与治疗，2016，27（18）：3463.
[11]	邹治义，吴建清，肖克敏.腹腔镜联合胆道镜与传统开腹手术治疗胆总管结石的临床疗效对比研究[J].肝胆外科杂志，2016，24（2）：144-146.
[12]	梁艳秋.腹腔镜联合胆道镜治疗肝内胆管结石患者的疗效研究[J].中国继续医学教育，2016，8（1）：73-75.
[13]	戴贵森，方迎兵.腹腔镜与胆道镜联合治疗肝胆管结石的临床疗效[J].中国现代医生，2016，54（16）：35-37.
[14]	崔玉宝，周俊传.大柴胡汤加减治疗胆总管结石的疗效观察[J].实用临床医学，2016，17（9）：26-27.
[15]	张小兵，张万宇，卢强，等.腹腔镜、内镜联合大柴胡汤加味治疗胆囊结石并肝外胆管结石患者的临床疗效及安全性[J].实用中西医结合临床，2016，16（11）：31-32.
[16]	乔风磊，马飞国，刘正才.双镜联合大柴胡汤加味治疗胆囊结石并肝外胆管结石疗效观察[J].现代中西医结合杂志，2015，24（25）：2819-2821.
[17]	陈建华，沈振华，季晓亮，等.加味大柴胡汤治疗胰胆管造影术后黄疸疗效观察[J].浙江中西医结合杂志，2015，25（11）：1025-1026.
[18]	郭展展.大柴胡汤加味在伴肝硬化胆囊结石患者腹腔镜术后的应用效果[J].陕西中医，2016，37（7）：858-859.