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| Clinical effect observation of laparoscopy combined with choledochoscopy and Modified Chaihu Shugan Decoction in the treatment of bile duct stones |
| ZENG Fa-qing1,2 |
1.Traditional Chinese Medical Hospital of Taihe County in Jiangxi Province,Taihe 343700,China;
2.Guanxi Health Center of Taihe County in Jiangxi Province,Taihe 343700,China |
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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.
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