CAJ | 학술논문

目的：观察腹腔镜下胆道镜保胆取石术中的临床应用效果。方法：选择经临床诊断为胆囊结石合并肝外胆管结石患者45例，采用随机数字表法将患者分为观察组和对照组，其中观察组25例，对照组20例。观察组采用腹腔镜下纤维胆道镜保胆取石术；对照组采用腹腔镜胆囊切除术，比较两组患者的手术效果、手术及住院资料、术后并发症情况。结果：临床疗效在显效、有效、无效和治疗总有效率的比较具有统计学意义；住院时间、手术时间比较其结果具有统计学意义；患者在腹泻、脂肪泻、胰腺炎及结石复发等并发症的比较其结果具有统计学意义。结论：腹腔镜下纤维胆道镜保胆取石术能够有效提高治疗有效率，且具有手术时间短、术式简单易行等优点，同时术后易于对并发症的控制，是较好的胆囊合并胆管结石微创治疗手段。
목적：관찰복강경하담도경보담취석술중적림상응용효과。방법：선택경림상진단위담낭결석합병간외담관결석환자45례，채용수궤수자표법장환자분위관찰조화대조조，기중관찰조25례，대조조20례。관찰조채용복강경하섬유담도경보담취석술；대조조채용복강경담낭절제술，비교량조환자적수술효과、수술급주원자료、술후병발증정황。결과：림상료효재현효、유효、무효화치료총유효솔적비교구유통계학의의；주원시간、수술시간비교기결과구유통계학의의；환자재복사、지방사、이선염급결석복발등병발증적비교기결과구유통계학의의。결론：복강경하섬유담도경보담취석술능구유효제고치료유효솔，차구유수술시간단、술식간단역행등우점，동시술후역우대병발증적공제，시교호적담낭합병담관결석미창치료수단。
Objective:To discuss the clinical application with choledochoscope paul gall stone under laparoscopic. Methods: Selected 45 cases of gallbladder stones with extrahepatic bile duct stones in patients as research subjects in the first general surgery 242 hospital of harbin from January 2010 until May 2013. used a random number table, patients were divided into two groups,25 cases in the observation group, used laparoscopic Choledochofiberscope Paul gall stone surgery;the control group of 20 patients, used laparoscopic cholecystectomy, compared surgical results, surgery and hospitalization data, postoperative complications situation. Results: Clinical efficacy markedly effective, ineffective, the total efficiency of the treatment was statistically significant; hospitalization, surgery time comparing the results with statistical significance;patients with diarrhea, complications steatorrhea, pancreatitis, stone recurrence comparison, the results are statistically significant. Conclusion:Paul Choledochofiberscope laparoscopic gall stone surgery can effectively improve the efficiency of treatment, and have shorter operative time, surgical advantages of simple, easy to control while surgery, gallbladder and bile duct stones are better minimally invasive treatment.