CAJ | 학술논문

目的：探讨腹腔镜联合胆道镜治疗肝胆管结石的疗效。方法选取2010年6月～2013年6月我院就诊的肝胆管结石65例，随机分为研究组33例及对照组32例。对照组行常规开腹行胆囊切除术，研究组行腹腔镜联合胆道镜治疗。对两组患者的手术情况，术后并发症及复发率进行比较。结果研究组的手术时间、出血量、肛门排气时间、住院天数，明显短于对照组，两组比较，差异具有统计学意义（P＜0.05）。研究组的切口感染，术后疼痛，胆漏发生率皆少于对照组，两组比较，差异显著（P＜0.05）。而结石残余率研究组高于对照，差异显著（P＜0.05）。研究组结石复发率为3.03%，明显低于对照组的21.88%，两组比较差异显著（P＜0.05）。结论对肝胆管结石采用腹腔镜联合胆道镜治疗，其临床疗效显著，可明显降低并发症，值得临床应用。
목적：탐토복강경연합담도경치료간담관결석적료효。방법선취2010년6월～2013년6월아원취진적간담관결석65례，수궤분위연구조33례급대조조32례。대조조행상규개복행담낭절제술，연구조행복강경연합담도경치료。대량조환자적수술정황，술후병발증급복발솔진행비교。결과연구조적수술시간、출혈량、항문배기시간、주원천수，명현단우대조조，량조비교，차이구유통계학의의（P＜0.05）。연구조적절구감염，술후동통，담루발생솔개소우대조조，량조비교，차이현저（P＜0.05）。이결석잔여솔연구조고우대조，차이현저（P＜0.05）。연구조결석복발솔위3.03%，명현저우대조조적21.88%，량조비교차이현저（P＜0.05）。결론대간담관결석채용복강경연합담도경치료，기림상료효현저，가명현강저병발증，치득림상응용。
Objective To explore the laparoscopy combined with choledochoscopy in treatment of bile duct calculi. Methods 65 cases of hepatobiliary calculi in our hospital from 2010 June to 2013 June were collected and were randomly divided into study group 33 cases and control group of 32 cases.The control group underwent conventional open cholecystectomy, study group underwent laparoscopy combined with choledochoscopy in treatment. The operation situation of two groups of patients, postoperative complications and recurrence rate were compared. Results Research group in the operation time,amount of bleeding,anal exhaust time, hospitalization days,significantly shorter than the control group,the two groups,the difference was statistically significant(P<0.05).Research group of incision infection, postoperative pain, bile leakage rate is less than that of the control group,the two groups, significant difference(P < 0.05).While the rate of residual stones in study group was higher than that of the control,significant difference(P < 0.05).Research group of stone recurrence rate was 3.03%,significantly lower than the control group 21.88%,the difference between the two groups was significant(P<0.05). Conclusion Laparoscopy combined with choledochoscopy in the treatment of hepatolithiasis clinical curative effect,can obviously reduce the incidence of complications,worthy of clinical application.