CAJ | 학술논문

目的探讨腹腔镜联合输尿管镜治疗肝胆管结石的临床疗效.方法选择肝胆管结石患者98例,随机分为观察组(腹腔镜联合输尿管镜治疗组)52例和对照组(开腹手术组)46例.比较两组手术时间、术中出血量、住院时间、结石清除率、术后胃肠功能恢复时间、并发症等各项指标差异.结果观察组手术出血量、住院时间及术后胃肠功能恢复时间、并发症方面优于对照组,差异均有统计学意义(均P＜0.05);观察组手术时间和T管拔除时间较对照组长,差异均有统计学意义(均P＜0.05);两组术中副损伤率、胆石清除率、胆石残留率差异均无统计学意义(均P＞0.05).结论腹腔镜联合输尿管镜治疗肝胆管结石具有创伤小、并发症少、术后恢复快等优点,是治疗肝胆管结石的一种安全、有效的微创手术方法.
목적 탐토복강경연합수뇨관경치료간담관결석적림상료효.방법 선택간담관결석환자98례,수궤분위관찰조(복강경연합수뇨관경치료조)52례화대조조(개복수술조)46례.비교량조수술시간、술중출혈량、주원시간、결석청제솔、술후위장공능회복시간、병발증등각항지표차이.결과 관찰조수술출혈량、주원시간급술후위장공능회복시간、병발증방면우우대조조,차이균유통계학의의(균P＜0.05);관찰조수술시간화T관발제시간교대조조장,차이균유통계학의의(균P＜0.05);량조술중부손상솔、담석청제솔、담석잔류솔차이균무통계학의의(균P＞0.05).결론 복강경연합수뇨관경치료간담관결석구유창상소、병발증소、술후회복쾌등우점,시치료간담관결석적일충안전、유효적미창수술방법.
Objective To investigate the effect of laparoscope combined with ureteroscope for the treatment of hepatolithus. Methods 98 patients were randomly divided into two groups:the study group(laparoscope combined with ureteroscope group) and the control group (the open surgery group). The mean blood loss, the recovery of the stomach and intestines function, hospital stay and the rate of complications were observed. Results Compared with the open surgery group,the mean blood loss,the recovery of the stomach and intestines function,and hospital stay in the study group had statistically significant difference (all P＜0. 05). Compared with the open surgery group, the time of surgery and the patients carrying " T" tubes in the study group had statistically significant difference (all P＜0. 05). Compared with the open surgery group, the rate of gallstone removal、the rate of gallstone residual and the rate of injures in the study group had no statistically significant difference(all P＞0. 05). Conclusion Laparoscope combined with ureteroscope in patients with hepatolithus had the advantage of less trauma, faster postoperative recovery and fewer complications. It was safe and effective,so it was worth to recommend its clinical use.