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| Application of sequential electrohydraulic lithotripsy in choledocholithiasis after bimirror combined with common bile duct exploration |
| JI Lai-wei SUN Duo SONG Duo JIANG De-shuai |
| The First Department of Hepatobiliary Surgery,Shenyang Fourth People′s Hospital,Liaoning Province,Shenyang 110035,China |
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Abstract Objective To explore the effect of sequential electrohydraulic lithotripsy after bimirror combined with common bile duct exploration on the one-time caculus removal rate and recovery of patients with choledocholithiasis.Methods A total of 67 patients with choledocholithiasis treated in Shenyang Fourth People′s Hospital,Liaoning Province from February 2019 to February 2020 were selected as the research objects.According to the random number table method,they were divided into control group (33 cases) and an observation group (34 cases).The control group adopted bimirror combined with common bile duct exploration method,the observation group adopted sequential electrohydraulic lithotripsy after bimirror combined common bile duct exploration.The one-time caculus removal rate,white blood cell count (WBC),total bilirubin (TBil),glutamyl transpeptidase (GGT) levels improvement and complications were compared between the two groups.Results The operations in the two groups were successfully completed and the caculus removal rate was 100%;the intraoperative blood loss of the observation group was less than that of the control group,and the time of operation,biliary bleeding,exhaust and hospitalization time were shorter than those of the control group,the differences were statistically significant (P<0.05);the WBC,TBil,and GGT levels of the observation group after surgery were lower than those of the control group,the differences were statistically significant (P<0.05);the total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05).Conclusion Sequential electrohydraulic lithotripsy after bimirror combined with common bile duct exploration for patients with choledocholithiasis has a significant effect,which can completely remove the calculus and decrease WBC,TBil levels,and there is no obvious increase in complications,and is worth learning from.
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