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ERCP下胆总管巨大结石激光碎石的护理研究

Nursing study of laser lithotripsy of giant bile duct stones under ERCP

中文摘要英文摘要

目的 比较ERCP下双频双脉冲激光碎石与内镜下传统机械碎石治疗胆总管结石患者的疗效差异。方法 分析2018年5月至 2022年5月期间在北京中医药大学东方医院消化内镜中心行ERCP治疗并碎石的200例胆总管结石患者的临床资料,其中69例患者采用双频双脉冲激光碎石术(激光组),131例患者采用机械碎石(机械组),比较2组患者的取石成功率、手术时间、术后住院时间、并发症等情况。结果 2组患者一般情况、术前临床资料等基线资料基本一致(P>0.05)。2组患者术后出血、术后胰腺炎、穿孔并发症率比较差异均无统计学意义(P>0.05)。激光组的手术时间明显长于机械组(P<0.05)、术后住院时间更短(P<0.05)、总并发症率和结石残留率更低(P<0.05)。结论 双频双脉冲激光碎石治疗胆总管结石具有比传统手术机械碎石更好的疗效及更低的并发症率,但手术时间仍有改进的空间。

Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under ERCP and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy at the Digestive Endoscopy Center of Dongfang Hospital of Beijing University of Traditional Chinese Medicine were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (laser group) and 131 patients were treated with mechanical lithotripsy (mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of 2 groups of patients were compared. Results The baseline data such as general conditions and preoperative clinical data of the two groups were basically the same (P>0.05). There were no significant differences in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P>0.05). The surgical time in the laser group was significantly longer than that in the mechanical group (P<0.05), the postoperative hospital stay was shorter (P<0.05), and the total complication rate and stone residue rate were lower (P<0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.

彭丹、王爽、郑红梅、高冬华、许冰

10.12074/202209.00094V1

临床医学内科学

ERCP胆总管结石激光碎石护理

彭丹,王爽,郑红梅,高冬华,许冰.ERCP下胆总管巨大结石激光碎石的护理研究[EB/OL].(2022-09-06)[2025-07-16].https://chinaxiv.org/abs/202209.00094.点此复制

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