腹腔镜胆总管探查联合十二味疏肝利胆冲剂治疗肝外胆管结石临床分析

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linical effect analysis of laparoscopic common bile duct exploration combined withtwelve kinds of Shugan Lidan Granule in the treatment of extrahepatic bile duct stones

陈飞¹ 贺露露¹ 王闪² 鲍瑞玲²

（1.新乡市传染病医院，河南新乡，453000；2.新乡市中心医院，河南新乡，453000）

中图分类号：R657.42 文献标识码：A 文章编号：1674-7860（2016）15-0125-02 证型：DIGB

【摘要】目的：探讨腹腔镜胆总管探查联合十二味疏肝利胆冲剂治疗肝外胆管结石的临床疗效。方法：选取新乡市传染病医院和新乡市中心医院2014年12月—2015年12月收治的58例外胆管结石患者，随机分为两组，每组29例，对照组采用腹腔镜胆总管探查术，观察组在对照组的基础上给予十二味疏肝利胆冲剂治疗。结果：两组临床效果比较差异无统计学意义（P＞0.05），但观察组在降低血常规、肝功能、血清胆汁生化各指标与提高胆汁引流方面优于对照组。结论：腹腔镜胆总管探查联合十二味疏肝利胆冲剂治疗肝外胆管结石优于单一的腹腔镜胆总管探查术，可控制术后胆管炎症，促进术后肝功能恢复、残余结石排除，可有效防治结石再生。

【关键词】腹腔镜胆总管探查；十二味疏肝利胆冲剂；肝外胆管结石

【Abstract】Objective:To investigate the clinical effect of laparoscopic common bile duct explorationcombined with twelve kinds of Shugan Lidan Granule in the treatment of hepaticbile duct stones. Methods: 58 patients with bile duct stones, admitted to XinxiangInfectious Disease Hospital and Xinxiang Central Hospital from December 2014 toDecember 2015, were randomly divided into the observation group and the controlgroup, with 29 cases in each group;patientsin the control group were treated with laparoscopic common bile ductexploration (LCDE) while the observation group received laparoscopic commonbile duct exploration combined with twelve kinds of Shugan Lidan Granule.Results:The differences in theclinical effects of the two groups were of no statistical significance (P >0.05), but in lowering blood routine and improving the liver function, serumbile biochemical indicators and the bile drainage, the observation group wasbetter than the control group. Conclusion:Laparoscopic common bile duct exploration combined with twelve kinds of ShuganLidan Granule had better effect than single laparoscopic common bile ductexploration (LCDE) in the treatment of hepatic bile duct stones; it could controlthe postoperative bile duct inflammation, promote postoperative liver functionrecovery, remove residual calculus and prevent the stones regenerationeffectively.

【Keywords】Laparoscopiccommon bile duct exploration; Twelve kinds of Shugan Lidan granules; Extrahepaticbile duct stones

doi:10.3969/j.issn.1674-7860.2016.15.061

参考文献：

[1]陈小勋,黄顺荣,罗汉传,等.腹腔镜胆总管探查术后一期缝合与置T管引流的比较[J].中国普通外科杂志,2015,16(7):666-668.

[2]韦雪虹.腹腔镜胆总管探查取石胆管一期缝合术患者的护理[J].中国实用护理杂志,2013,26(36):29-30.

[3]索运生,张明哲,尹思能,等.腹腔镜胆总管探查、一期缝合和T管引流后胆道压力变化的比较[J].中国微创外科杂志,2014,6(1):21-23.

[4]宇洋,孙世波,孙铁为,等.腹腔镜胆总管探查取石术后T管梗阻的原因及对策[J].中华肝胆外科杂志,2014,20(5):363-365.

[5]陆晓燕.三孔法腹腔镜胆总管探查Ⅰ期缝合术的护理[J].护士进修杂志,2013,28(17):1594-1596.

[6]李建军.腹腔镜胆总管探查术后一期缝合与置T管引流的临床对照研究[J].中华普通外科杂志,2013,28(11):836-838.

[7]邓建军,杨勇,刘家盛,等.腹腔镜胆总管探查术中T管缝合方法体会[J].临床外科杂志,2015,23(9):718-719.

[8]秦明放,赵宏志,王庆,等.微创治疗肝外胆管结石阶梯性方案研究[J].中国实用外科杂志,2014,24(2):88-90.

[9]周小江,李国华,陈幼祥,等.十二指肠乳头切开术联合球囊扩张术在肝外胆管结石内镜治疗中的作用[J].中华消化内镜杂志,2014,29(8):452-454.