三金排石汤联合EST治疗肝胆湿热型胆总管合并肝内胆管结石

目的 观察经内镜乳头括约肌切开术EST联合中药和单纯EST治疗胆总管结石合并肝内胆管结石的临床疗效.方法 将我院胆总管结石合并肝内胆管结石住院患者100例,随机分成治疗组和对照组各50例,分别采用EST取石联合中药和单纯EST治疗,观察两组的结石治愈及好转率.结果 两组治疗胆总管取石成功率分别为94%和88%,无显著性差异(P＞0.05);两组肝内胆管结石好转率分别为74%和28%,具有显著性差异(P＜0.05),胆总管结石取石成功率相似,但肝内胆管结石消失率治疗组优于对照组(P＜0.05).结论 中药具有排除肝内胆管结石的作用,EST取石联合中药治疗胆系结石更有优势.

Treatment of Calculus in Common Bile Duct and Intrahepatic Duct of Dampness-heat in Liver and Gallbladder Syndrome with Endoscopic Sphincterotomy and Sanjin-paishi Decoction

Objective To evaluate the clinical effect of endoscopic sphineterotomy (EST) and endoscopic sphincterotomy associated with traditional Chinese medicine in the treatment of intrahepafic duct stones.Methods Eighty patients with common bile duet stones and intrahepatic duct stone were randomly divided into a treatment group and a control group.EST associated with traditional Chinese medicine was performed in the treatment group,and EST only was used in the control group.Clinical effects were observed.Results Common bile Duet stone clearance was achieved in 94% patients in the treatment group,contrasting 88% in the control group.There was no significant difference between them (P＞0.05).While intrahepatic duct stone clearance was 74% and 28% respectively in the treatment group and the control group,showing significant difference (P＜0.05).Conclusion It is a good way that endoscopic sphincterotomy associated with traditional Chinese medicine treating intrahepatic duct stones.