CAJ | 학술논문

目的：探究与分析开腹手术联合术中胆道镜治疗胆总管结石临床效果,为治疗工作提供科学依据。方法：选取我院自2008年12月～2012年2月收治的胆总管结石患者80例,随机分成两组,每组40例患者,A组采用开腹手术联合胆道镜探查取石手术进行治疗,即为试验组；B组采用开腹取石进行治疗,即为对照组。分别观察两组患者经手术治疗后的临床效果。结果：采用开腹手术联合术中胆道镜进行手术相比用开腹手术进行治疗的患者出血更少,且并发周围性粘连、切口感染的人数少。结论：采用联合术中胆道镜进行手术可提高治愈速度,减轻患者痛苦,值得在临床上推广。
목적：탐구여분석개복수술연합술중담도경치료담총관결석림상효과,위치료공작제공과학의거。방법：선취아원자2008년12월～2012년2월수치적담총관결석환자80례,수궤분성량조,매조40례환자,A조채용개복수술연합담도경탐사취석수술진행치료,즉위시험조；B조채용개복취석진행치료,즉위대조조。분별관찰량조환자경수술치료후적림상효과。결과：채용개복수술연합술중담도경진행수술상비용개복수술진행치료적환자출혈경소,차병발주위성점련、절구감염적인수소。결론：채용연합술중담도경진행수술가제고치유속도,감경환자통고,치득재림상상추엄。
Objective:To explore and analyze clinical effects of open operation combined with intraoperative choledochoscope treating choledocholithiasis, providing scientific basis for treatment.Methods:From December 2008 to February 2012,80 cases of patients with choledocholithiasisin our hospital were chosen and were randomly divided into two groups, and each had 40 patients. The experiment group (A group) was treated with the open operation combined with intraoperative choledochoscope and the control group (A group) was treated with the open operation for stone removal. The clinical effects after operation of the two groups were observed and analyzed.Results:Patients with open operation combined with intraoperative choledochoscope had less bleeding、fewer concurrent peripheraladhesions and infections of incision, compared with the patients with open operation Conclusion:It can improve the cure rate and reduce the suffering of patients with the open operation combined with intraoperative choledochoscope, which is worthy of clinical promotions.