CAJ | 학술논문

目的探讨纤维胆道镜联合腹腔镜胆管探查取石加一期缝合术(LBEPS)与腹腔镜胆管探查取石加T管引流术(LCHTD)的临床疗效差异.方法选取胆总管结石患者101例,随机按照手术方法不同分为两组:LCHTD治疗组56例,纤维胆道镜联合LBEPS治疗组45例,比较两组疗效.结果纤维胆道镜联合LBEPS组与LCHTD组手术时间差异无统计学意义(P＞0.05)；纤维胆道镜联合LBEPS组术中出血量、术后消化功能恢复时间、平均住院时间优于LCHTD组(均P＜0.05)；LBEPS组并发症及胆管镜取石再治疗均少于LCHTD组(P＜0.05).结论纤维胆道镜联合LBEPS与LCHTD相比,具有创伤小、术后恢复快、并发症少等优点,具有一定的临床推广价值.
목적 탐토섬유담도경연합복강경담관탐사취석가일기봉합술(LBEPS)여복강경담관탐사취석가T관인류술(LCHTD)적림상료효차이.방법 선취담총관결석환자101례,수궤안조수술방법불동분위량조:LCHTD치료조56례,섬유담도경연합LBEPS치료조45례,비교량조료효.결과 섬유담도경연합LBEPS조여LCHTD조수술시간차이무통계학의의(P＞0.05)；섬유담도경연합LBEPS조술중출혈량、술후소화공능회복시간、평균주원시간우우LCHTD조(균P＜0.05)；LBEPS조병발증급담관경취석재치료균소우LCHTD조(P＜0.05).결론 섬유담도경연합LBEPS여LCHTD상비,구유창상소、술후회복쾌、병발증소등우점,구유일정적림상추엄개치.
Objective To explore the clinical effects of laparoscopic common bile duct exploration and primary suture combined with choledochoscopy (LBEPS) and laparoscopic common bile and duct exploration T-tube drainage(LCHTD) on cholelithiasis.Methods 101 cholelithiasis patients were selected and,grouped by the operation methods.56 cases were treated with LCHTD,while 45 cases were treated with LBEPS.The operation time,blood lose,and postoperative digest function recovery time were ampared betreen two groups.Results The operation time betreen the two groups has no significant difference(P ＞ 0.05 ),while the blood lose,postoperative digest function recovery time in LBEPS group were better than the LCHTD group( all P ＜ 0.05 ),the differences were statistically significant.Meanwhile the LBEPS group had a less complication and re-treatment rate than those of the LCHTD group ( P＜0.05).Conclusion Compared with LCHTD,LBEPS had smaller trauma,less operation complications and faster postoperative digest recovery time,worthy of clinical promotion.