Abstract：Objective: To investigate the efficacy and safety of percutaneous transhepatic choledochoscopy in the treatment of intrahepatic and extrahepatic bile duct stones. Method: The clinical data of 92 patients with intrahepatic and extrahepatic biliary calculi in our hospital were retrospectively analyzed. Among them, 32 cases underwent percutaneous transhepatic choledochoscopy (observation group), 60 cases underwent conventional common bile duct lithotomy and T tube drainage (control group). The clinical efficacy (stone clearance rate, postoperative stone recurrence rate), operative related indexes (operation time, intraoperative bleeding, incision length, postoperative exhaust time, fasting time, hospitalization time), postoperative rehabilitation indexes [alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (STB)], liver function indexes and postoperative complications were compared between the two groups. Results: There was no significant difference in stone removal rate and postoperative stone recurrence rate between the two groups (P > 0.05). The operation time, intraoperative bleeding, incision length, postoperative exhaust time and fasting time in the observation group were significantly lower than those in the control group (P<0.05). The postoperative ALT, AST and STB of the two groups were significantly lower than those before operation (P<0.05), but there was no significant difference between the two groups in liver function index (P>0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion: Percutaneous transhepatic choledochoscopy and traditional surgery are effective in the treatment of intrahepatic and extrahepatic bile duct stones, and can improve the liver function of patients. But the former has the advantages of minimally invasive, less trauma, rapid postoperative recovery, low incidence of complications, and has more clinical value.
龚义伟, 区军杰, 彭承东, 胡海. 经皮肝穿刺胆道镜取石术治疗肝内外胆道结石的疗效及安全性观察[J]. 河北医学, 2018, 24(5): 826-829.
GONG Yiwei, OU Junjie, PENG Chengdong, et al. Efficacy and Safety of Percutaneous Transhepatic Choledochoscopy in the Treatment of Intrahepatic and Extrahepatic Bile Duct Stones. HeBei Med, 2018, 24(5): 826-829.
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2018, Vol. 24 
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