CAJ | 학술논문

目的探讨"三镜"联合治疗胆总管结石术式的临床应用价值及护理.方法对45例胆总管结石患者采用LCDE("三镜"联合)治疗,作为研究组;将同期接受传统开腹取石术的56例患者作为对照组,比较2组患者平均住院日及对治疗护理的满意度,进行t检验和χ2检验.结果研究组的平均住院时间显著短于对照组,患者对治疗护理的满意度显著优于对照组.结论胆总管结石"三镜"联合治疗术式及护理是安全可行的,特别是结合鼻胆管抗生素的灌洗和溶石治疗,更能突显出拓宽手术适应证,降低手术风险,具有损伤少、内环境干扰少、彻底清除结石、减少术后并发症、康复快、缩短住院时间等优点,能达到传统开腹手术同样或更好的治疗效果.
목적 탐토"삼경"연합치료담총관결석술식적림상응용개치급호리.방법 대45례담총관결석환자채용LCDE("삼경"연합)치료,작위연구조;장동기접수전통개복취석술적56례환자작위대조조,비교2조환자평균주원일급대치료호리적만의도,진행t검험화χ2검험.결과 연구조적평균주원시간현저단우대조조,환자대치료호리적만의도현저우우대조조.결론 담총관결석"삼경"연합치료술식급호리시안전가행적,특별시결합비담관항생소적관세화용석치료,경능돌현출탁관수술괄응증,강저수술풍험,구유손상소、내배경간우소、철저청제결석、감소술후병발증、강복쾌、축단주원시간등우점,능체도전통개복수술동양혹경호적치료효과.
Objective To discuss the clinical value and nursing of the three-endoscope in the treatment of eholedoeholithiasis. Methods 45 eases of choledocholithiasis patients who were treated with LCDE (three-endoscope) were named as the research group.56 patients who received traditional open ab-dominal surgery were set as the control group. The average hospitalization time and satisfaction degree with nursing were compared, t test and χ2 test were adopted. Results The average hospitalization time was shorter and satisfaction degree with nursing was higher in the research group than those in the control group. Conclusions The treatment of choledochohthiasis with three-endoscope is safe and feasible, es-pecially when combined with antibiotics lavage and stone dissolution through naso-biliary duct.The opera-tion can widen the surgical indication,reduce the risk of surgery with little damage,clear stones completely, reduce postoperative complicatioas,make patients recover faster, shorten the hospital stay and achieve the same or better treatment results when compared to the traditional open abdominal surgery.