摘要
目的分析胆总管结石(common bile duct stone,CBDS)应用自动脱落内支架管的临床效果和对肝功能的影响。方法临床选择东莞康华医院肝胆胰外科收入院的CBDS患者76例,收入院时间为2017年1月—2021年3月,按不同的治疗方式分为试验组、对照组,各38例,试验组予以内支架管,对照组予以T管,分析两组术中出血量、住院时间、术后通气时间、手术时间以及白蛋白(albumin,ALB)、天门冬氨酸转氨酶(aspartate aminotransferase,AST)、总胆红素(total bilirubin,TB)水平。结果试验组术中出血量明显少于对照组,且试验组住院时间、术后通气时间、手术时间明显短于对照组,差异有统计学意义(P<0.05);两组治疗前、治疗后肝功能指标ALB、AST、TB比较差异无统计学意义(P>0.05);治疗后试验组生活质量评分明显高于对照组,差异有统计学意义(P<0.05);试验组不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论CBDS患者实施自动脱落内支架管可获得显著价值,不仅能够有效缩短住院时间,减少术中出血量,还能够有效缩短手术时间以及术后通气时间,因此值得临床应用及推广。
Objective To analyze the application of self-detaching internal stent tube in patients with common bile duct stones(CBDS)and its influence on liver function.Methods A total of 76 CBDS patients were selected as the research objects,all from Dongguan Kanghua Hospital from January 2017 to March 2021.According to the random number table method,they were grouped into the experimental group and the control group,each with 38 cases,and the experimental group was given intravenous stent tube,the control group was given a T tube.The intraoperative blood loss,hospitalization time,postoperative ventilation time,operation time and albumin(ALB),aspartate aminotransferase(AST)and total bilirubin(TB)levels were analyzed in the two groups.Results The amount of blood loss during operation in the experimental group was significantly less than that in the control group,and the hospitalization time,postoperative ventilation time,and operation time in the experimental group were significantly shorter than those in the control group.The differences were statistically significant(P<0.05);there was no significant difference in liver function indexes ALB,AST and TB between the two groups before and after treatment(P>0.05);after treatment,the quality of life score of the experimental group was significantly higher than that of the control group,the difference was statistically significant(P<0.05);the incidence of adverse reactions in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of automatic detachment of internal stents in CBDS patients can obtain significant value.It can not only effectively shorten the hospital stay and reduce the amount of intraoperative blood loss,but also effectively shorten the operation time and postoperative ventilation time.Therefore,it is worthy of clinical application and promotion.
作者
柯绍标
KE Shaobiao(Department of Hepatobiliary and Pancreatic Surgery,Dongguan Kanghua Hospital,Dongguan Guangdong 523000,China)
出处
《中国卫生标准管理》
2022年第11期63-66,共4页
China Health Standard Management
关键词
自动脱落
内支架管
胆总管结石
肝功能
T管引流
胆道探查术
胆道镜
十二指肠
automatic shedding
internal stent tube
common bile duct stones
liver function
T tube drainage
biliary duct exploration
choledochoscopy
duodenum
