CAJ | 학술논문

目的比较腹腔镜胆囊切除、胆总管探查联合胆管镜取石(A方法 )与十二指肠镜联合腹腔镜胆囊切除术(B方法 )治疗胆石病的效果及优缺点.方法回顾性分析42例胆总管结石合并胆囊结石采用A方法与72例采用B方法治疗的临床资料,比较两组患者的手术时间、术中出血量、术后镇痛率、中转开腹数、结石残留率、术后并发症率、住院总费用和住院总时间等指标,进行统计学对比分析.结果两种术式的结石残留率、中转开腹率、各项并发症率及住院总费用比较差异有统计学意义(P<0.05),而其余指标比较差异无统计学意义(P0.05).结论两种术式具有各自的优缺点,需根据患者术前影像学检查及具体病情等采用个体化的治疗方案.
목적 비교복강경담낭절제、담총관탐사연합담관경취석(A방법 )여십이지장경연합복강경담낭절제술(B방법 )치료담석병적효과급우결점.방법 회고성분석42례담총관결석합병담낭결석채용A방법 여72례채용B방법 치료적림상자료,비교량조환자적수술시간、술중출혈량、술후진통솔、중전개복수、결석잔류솔、술후병발증솔、주원총비용화주원총시간등지표,진행통계학대비분석.결과 량충술식적결석잔류솔、중전개복솔、각항병발증솔급주원총비용비교차이유통계학의의(P<0.05),이기여지표비교차이무통계학의의(P0.05).결론 량충술식구유각자적우결점,수근거환자술전영상학검사급구체병정등채용개체화적치료방안.
Objective To compare the effects of laparoscopic cholecystectomy and laparoscopic common bile duct exploration combined choledochoscopic exploration( method A)and duodenoscopic sphincterotomy combined with laparoscopic cholecystectomy( method B) in treating choledocholithiasis with cholecystohthia-sis. Methods A retrospective study was adopted to analyze by statistical methods comparatively the clinical data of 114 patients, concerning operation time, blood lost, odynolysis rate, conversion rate,calculi residual rate ,complication rate ,hospitalization time and cost, et al. 68 cases were treated by method A,and 72 ca-ses were treated by method B. Results There were statistical differences in calculi residual rate, a conver-sion rate, apart complication rates and hospitalization cost between two groups, but there was no statistical difference in other index. Conclusion The two methods for choledocholithiasis and cholecystohthiasis has advantage and shortcoming respectively. The treatment for patients must be individualized by MRCP/USG, actual state of illness, and so on.