CAJ | 학술논문

目的：探讨腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的有效性及安全性。方法选取2012年8月-2013年8月采用腹腔镜联合胆道镜治疗的96例胆囊结石合并胆总管结石患者为观察组，同期采用开腹胆囊切除术治疗的85例患者为对照组，观察两组患者手术情况、并发症情况及血清CRP变化情况。结果观察组术中出血量、肛门排气时间、住院时间及术后并发症发生率均明显低于对照组，P <0.05；观察组治疗后第1d、3d、5d血清CRP水平明显低于对照组，P <0.05。结论腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石疗效好、安全性高。
목적：탐토복강경연합담도경치료담낭결석합병담총관결석적유효성급안전성。방법선취2012년8월-2013년8월채용복강경연합담도경치료적96례담낭결석합병담총관결석환자위관찰조，동기채용개복담낭절제술치료적85례환자위대조조，관찰량조환자수술정황、병발증정황급혈청CRP변화정황。결과관찰조술중출혈량、항문배기시간、주원시간급술후병발증발생솔균명현저우대조조，P <0.05；관찰조치료후제1d、3d、5d혈청CRP수평명현저우대조조，P <0.05。결론복강경연합담도경치료담낭결석합병담총관결석료효호、안전성고。
Objective To investigate the safety and potency of treating Gallstones and Choledocholithiasis using Peritoneoscope and Choledochoscope. Methods The 96 cases were chosen as the observation group that suffered gallstones and choledocholithiasis and were treated with peritoneoscope and choledochoscope from Aug. 2012 to Aug. 2013. Another 85 cases that were treated with open cholecystectomy during the same period were selected as the control group. The two groups were observed in terms of surgeries, complications, and changes of the serum CRP. Results The observation group was enormously lower than the control group in terms of blood losses during the surgery, the time of flatus, hospitalization duration, and the occurrence of complications after the surgery(P <0.05). Subsequent to the treatment, the observation group was also drastically lower than the control group in the 1d, 3d, 5d serum CRP. Conclusions The proposed approach to gallstones and choledocholithiasis is both effective and safe.