CAJ | 학술논문

目的探讨硬镜与鞘管在腹腔镜胆总管切开取石手术中的应用价值.方法对比分析本院2003年5月至2006年6月进行的104例腹腔镜胆总管切开取石术中使用硬镜与鞘管的情况.观察组53例,应用硬镜与鞘管;对照组51例,没有使用硬镜与鞘管.对比两组的临床治疗效果.结果全部病例均没有胆道大出血、胆漏等严重并发症.两组操作时间、引出量差异有统计学意义(P<001),而出血次数、灌注量和结石残留率差异没有统计学意义(P>0.05).结论硬镜与鞘管在腹腔镜胆总管切开取石手术中能加快取石速度、缩短操作时间、减少结石和灌注液体进入腹腔后遗留与污染的机会,没有增加结石残留率,临床应用价值较大.
목적 탐토경경여초관재복강경담총관절개취석수술중적응용개치.방법 대비분석본원2003년5월지2006년6월진행적104례복강경담총관절개취석술중사용경경여초관적정황.관찰조53례,응용경경여초관;대조조51례,몰유사용경경여초관.대비량조적림상치료효과.결과 전부병례균몰유담도대출혈、담루등엄중병발증.량조조작시간、인출량차이유통계학의의(P<001),이출혈차수、관주량화결석잔류솔차이몰유통계학의의(P>0.05).결론 경경여초관재복강경담총관절개취석수술중능가쾌취석속도、축단조작시간、감소결석화관주액체진입복강후유류여오염적궤회,몰유증가결석잔류솔,림상응용개치교대.
Objective To evaluate the clinical value of rigid choledochoscope and sheath in the laparoscopic choledocholithotomy. Methods Clinical data of 104 cases receiving laparoscopic choledocholithotomy from May 2003 to June 2006 were analyzed retrospectively. Fifty-three cases of trial group underwent choledocholithotomy with rigid choledochoscope and sheath,and 51 cases of control group with cholangioscope. Clinical efficacy was compared between two groups.Results All the cases were cured. No complications,such as bile leakage and/or hemorrhage,occurred. There was no significant difference in hemorrhage,perfusion volume and residually rate of stones between two groups(P>0.05),while the operation time and drainage volume were significantly different between two groups(P<0.01). Conclusions Rigid choledochoscope and sheath is valuable to the laparoscopic choledocholithotomy and choledochoscopy,which can shorten the operation time,avoid blindness during insetting cholangioscope and decrease the side effect.