ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHÂN ĐƯỢC ĐIỀU TRỊ SỎI ĐƯỜNG MẬT BẰNG PHẪU THUẬT NỘI SOI

Abstract

Objective: The study aimed at to describe clinical and paraclinical features of patients with bile duct stones treated with endoscopic surgery combined with electrohydraulic lithotripsy at Central Military Hospital 108 from January, 2022 to June, 2023. Subjects and Method: Subjects included 39 patients with bile duct stones. Method was a descriptive study using retrospective and prospective data. Results: Bile duct stones were common in patients with average age 57.33 ± 15.51 years old (Min-Max: 19-82), age group 60-79 presenting 41.0%, women presenting 59%, and male/female ratio was 0.7/1. Right upper quadrant pain occurred in 100% of patients, fever occurred in 35.9% of patients, jaundice occurred in 30.8% of patients, and Charcot/  triad occurred in 30.8% of patients. Leucocytes increased in 35.9% of patients, Neutrophil increased in 38.5% of patients. Total bilirubin increased in 53.85% of patients, enzyme SGOT and SGPT increased in 64.1% and 66.7% respectively. The size of common bile duct on ultrasound and CT/MRI was similar. Conclusions: Bile duct stones were common in women aged from 60 to 79 years old. Clinical signs included flank pain, fever, and jaundice. Tests showed increased leucocytes, liver enzymes, and total bilirubin.