CAJ | 학술논문

目的：总结分析腹腔镜联合胆道镜与碎石机治疗肝内外胆管结石的疗效差异。方法：选择2012年1月-2013年12月笔者所在医院收治的68例肝内外胆管结石患者为研究对象，68例均经腹腔镜联合胆道镜、碎石机治疗，作为观察组；回顾性调查2010年1月-2011年12月笔者所在医院收治50例患者给予传统开腹手术治疗，作为对照组，比较两组患者治疗效果。结果：两组患者均顺利完成取石，观察组手术时间(55.5±12.5)min、手术出血量(52.1±12.3)ml、下床活动时间(2.1±0.8)d及住院时间(12.5±3.1)d，均明显低于对照组，差异有统计学意义(P<0.01)。结论：与传统开腹手术取石治疗相比，腹腔镜联合胆道镜、碎石机治疗是肝内外胆管结石的首选治疗方案。
목적：총결분석복강경연합담도경여쇄석궤치료간내외담관결석적료효차이。방법：선택2012년1월-2013년12월필자소재의원수치적68례간내외담관결석환자위연구대상，68례균경복강경연합담도경、쇄석궤치료，작위관찰조；회고성조사2010년1월-2011년12월필자소재의원수치50례환자급여전통개복수술치료，작위대조조，비교량조환자치료효과。결과：량조환자균순리완성취석，관찰조수술시간(55.5±12.5)min、수술출혈량(52.1±12.3)ml、하상활동시간(2.1±0.8)d급주원시간(12.5±3.1)d，균명현저우대조조，차이유통계학의의(P<0.01)。결론：여전통개복수술취석치료상비，복강경연합담도경、쇄석궤치료시간내외담관결석적수선치료방안。
Objective:To investigate clinical efficacy of laparoscopy combined choledochoscope,stone crusher in the treatment of extrahepatic bile duct stones.Method:68 cases patients with extrahepatic bile duct stones in author’s hospital from January 2012 to December 2013 were selected as observation group,treated by laparoscopy combined choledochoscope,stone crusher treatment.50 cases of patients in author’s hospital from January 2010 to December 2011 were selected as control group,treated by traditional open surgery.The clinical efficacy of two groups were compared.Result:The patients of two groups were successfully completed stone,the operative time was (55.5±12.5)min,blood loss was (52.1±12.3)ml,ambulation time was (2.1±0.8)d,and length of hospital stay was (12.5±3.1)d of the observation group,which were significantly lower than that of control group (P<0.01).Conclusion:Compared with traditional open surgery stone therapy,laparoscopy combined choledochoscope,lithotripsy in the treatment of extrahepatic bile duct stones is the preferred treatment.