CAJ | 학술논문

目的：探讨腹腔镜治疗胆结石的临床疗效。方法随机选择2012年1月~2013年2月我院收治的60例胆结石患者，将所有患者分为研究组和对照组，每组分别有30例患者。研究组患者给予腹腔镜治疗，对照组患者给予传统的手术方法治疗，并记录两组患者的手术时间、采用 GIQLI进行评分，对比分析两组患者的临床疗效。结果两组患者在手术前的GIQLI评分P＞0.05，进行治疗之后，研究组患者的评分高于对照组，在手术完成的2w内，研究组患者的评分恢复正常，8w之后，对照组的评分才得以恢复，研究组患者手术所需时间也明显短于对照组，研究组2例患者出现胃肠道不良反应，对照组9例患者出现此症状。两组对比差异显著（P＜0.05）。结论腹腔镜治疗胆结石，可有效改善症状，提高临床疗效，值得推广。
목적：탐토복강경치료담결석적림상료효。방법수궤선택2012년1월~2013년2월아원수치적60례담결석환자，장소유환자분위연구조화대조조，매조분별유30례환자。연구조환자급여복강경치료，대조조환자급여전통적수술방법치료，병기록량조환자적수술시간、채용 GIQLI진행평분，대비분석량조환자적림상료효。결과량조환자재수술전적GIQLI평분P＞0.05，진행치료지후，연구조환자적평분고우대조조，재수술완성적2w내，연구조환자적평분회복정상，8w지후，대조조적평분재득이회복，연구조환자수술소수시간야명현단우대조조，연구조2례환자출현위장도불량반응，대조조9례환자출현차증상。량조대비차이현저（P＜0.05）。결론복강경치료담결석，가유효개선증상，제고림상료효，치득추엄。
Objective:To investigate the clinical ef icacy of laparoscopy in the treatment of cholelithiasis. Methods:60 cases of gal stone patients were randomly selected in 2012 January-2013 year in February in our hospital,al patients were divided into study group and control group,each group has 30 patients. Patients in study group were given laparoscopic treatment,the patients in the control group received traditional operation method of treatment,and record the operation time,two groups of patients with the GIQLI score,a comparative analysis of the clinical curative ef ect of two groups of patients. Results:the two groups of patients before operation,GIQLI score P>0.05, after treatment,the study group patients was higher than that of the control group,the operation completed in 2 weeks,the study group patients were recovered to normal after 8 weeks,the control group,the score to recover,for patients in study group required time also significantly shorter than the control group,2 cases of adverse reactions in patients with gastrointestinal study group,control group of 9 patients with this symptom.The dif erence between two groups was significant (P<0.05). Conclusion:laparoscopic treatment of gal stones, can ef ectively improve the symptoms,improve the clinical ef icacy,is worthy of promotion.