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《膽寧片結(jié)合膽腸Roux-en-Y吻合術(shù)治療肝膽管結(jié)石臨床觀察.doc》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、腥寧片結(jié)合膽腸Roux-en-Y吻合術(shù)治療肝膽管結(jié)石臨床觀察【關(guān)鍵詞】膽寧vPstyle=”TEXT-INDENT:24px”>【摘要】目的觀察中藥膽寧片配合膽管空腸Roux-en-Y吻合術(shù)治療肝膽管結(jié)石的臨床療效。方法47例肝膽管結(jié)石患者術(shù)前分為兩組:治療組(膽寧片組)24例,對(duì)照組(去氫膽酸組)23例,均行膽管空腸Roux-en-Y吻合術(shù),術(shù)后治療組服用膽寧片,對(duì)照組服用去須膽酸,治療時(shí)間為I年。觀察兩組術(shù)后病人肝功能恢復(fù)情況、癥狀緩解率、殘石率和結(jié)石復(fù)發(fā)率。結(jié)果治療組術(shù)后ALT、TBiL、DB的恢復(fù)和臨床癥狀改善程度顯著優(yōu)于對(duì)照組(PvO.05);隨訪
2、2?3年,結(jié)石復(fù)發(fā)率治療組低于對(duì)照組(4.35%vs35.00%,Pv0.05);兩組殘石率差異無(wú)顯著性(4.17%vsl3.04%,P>0.05)o結(jié)論膽寧片能有效改善術(shù)后病人的肝功能,緩解臨床癥狀,降低術(shù)后結(jié)石復(fù)發(fā)率。關(guān)鍵伺肝膽管結(jié)石膽寧片膽管空腸吻合術(shù)療效vPstyle='TEXT?INDENT:24pxnalign=center>Clinicalstudyonpatientswithhepatolithiasistreatedbydanning
3、lign=center>tabincombinationwithRoux-en-YcholangiojejunostomyLiuShikui,LiuHaiboTheRedCrossofMu-danDistrictofHe-zheCity,Shandong274000.vPstyle="TEXT-INDENT:24px">[Abstract]ObjectiveToevaluatethetherapeutic
4、effectsofDanningTabonpatientswithhepatolithiasisun'derwentRoux-en-Ycholangiojejunostomy.Methods47patientswithhepatolithiasisunderwentRoux-en-Ycholangiojejunostomyweredividedintotwogroups.DanningTabwereadministratedto24patients(DanningTabgroup)andDehydrocholintotheremaining23patient
5、s(Dehydrocholingroup)bothforoneyear.Theliverfunction,clinicalsymptoms,therateofretainedstoneandtherecurrencerateofstonewereobservedinthetwogroups.ResultsDanningTabgroupcouldimprovepatients?liverfunctionandrelieveclinicalsymptomsbetterthanehydrocholingroup(P<0.05).Thestone'srecurren
6、cerateofDanningTabgroupwas4.35%whichwaslowerthanthatofDehy一drocholingroup(35.00%)(P<0.05).Nosignificantdifferencewasfoundintherateofretainedstonebetweenthetwogroups.ConclusionDanningTabcouldeffectivelyimprovetheliverfunctionandrelieveclinicalsymptomsofpa一tientswithhepatolithiasis.D
7、anningTabcanalsodecreasetherecurrencerateofstonepostoperatively.KeywordshepatolithiasisdanningtabcholangiojejunostomytherapeuticeffectRoux-en-Y膽腸吻合術(shù)是治療肝膽管結(jié)石的主要附加方式,但術(shù)后存在結(jié)石殘留、結(jié)石復(fù)發(fā)、膽道感染等并發(fā)癥。如何減少術(shù)后并發(fā)癥并提高術(shù)后生活質(zhì)量,一直是臨床醫(yī)生較為關(guān)注的問(wèn)題。中醫(yī)中西對(duì)膽
8、石癥結(jié)石的防治和臨床癥狀的改善有一定的療效。我們應(yīng)用