CAJ | 학술논문

目的：探讨与观察腹腔镜治疗胆总管结石的临床效果。方法选取我院于2008年6月至2013年6月收治的胆总管结石患者96例，随机分成行腹腔镜治疗和开腹手术两组，每组分别为51例和45例，把两组患者进行手术后的情况、手术恢复的情况和发生并发症的概率等相比较。结果行腹腔镜组不论是手术当中的出血量还是手术之后的胃肠道恢复和住院时间都明显优于开腹手术组（P＜0.05），而两组在手术之后的并发症、手术的时间以及取胆总管结石的成功率上比较差异没有统计学意义（P＞0.05）。结论与开腹手术相比较而言，腹腔镜手术的住院时间比较短、对患者的创伤小以及恢复的速度相对较快，值得临床推广。
목적：탐토여관찰복강경치료담총관결석적림상효과。방법선취아원우2008년6월지2013년6월수치적담총관결석환자96례，수궤분성행복강경치료화개복수술량조，매조분별위51례화45례，파량조환자진행수술후적정황、수술회복적정황화발생병발증적개솔등상비교。결과행복강경조불론시수술당중적출혈량환시수술지후적위장도회복화주원시간도명현우우개복수술조（P＜0.05），이량조재수술지후적병발증、수술적시간이급취담총관결석적성공솔상비교차이몰유통계학의의（P＞0.05）。결론여개복수술상비교이언，복강경수술적주원시간비교단、대환자적창상소이급회복적속도상대교쾌，치득림상추엄。
Objective To study and observation of laparoscopic common bile duct stones clinical effects. Methods The hospital in June 2008 to June 2013 choledocholithiasis admitted 96 patients were randomly divided into treatment and laparoscopic abdominal surgery two groups were 51 cases and 45 cases, the two groups case of patients after surgery, surgery recovery situation and risk of complications compared with other. Results The laparoscopic group, whether or amount of bleeding during surgery gastrointestinal recovery after surgery and hospitalization time were significantly better than the open surgery group (P<0.05), while the two groups after surgery complications, surgery time, and the success rate of common bile duct stones taken to compare the difference was not statistically significant (P>0.05). Conclusions In comparison with open surgery, laparoscopic surgery hospitalization relatively short time, the patient trauma and recovery is relatively fast, worthy of promotion.