CAJ | 학술논문

目的：探讨内置管腹腔镜胆总管探查术的临床疗效。方法回顾性分析山西省人民医院2011年10月至2013年5月采用腹腔镜胆囊切除、胆总管探查治疗胆囊结石合并胆总管结石患者114例的临床资料，其中采用 T 管引流组61例，内置管引流组53例。比较两组手术时间、术中出血量、住院费用、住院时间、带管时间、并发症发生率。结果两组在手术时间、术中出血量、住院费用方面比较差异无统计学意义（P >0.05）；内置管引流组患者住院时间、带管时间要明显少于 T 管引流组，差异有统计学意义（P <0.05）。两组术后均无胆管残余结石及胆漏、堵管等并发症发生。结论腹腔镜胆总管内置管引流术充分发挥了微创治疗胆管结石的优越性，保持了胆道的完整性和正常的生理功能，值得推广。
목적：탐토내치관복강경담총관탐사술적림상료효。방법회고성분석산서성인민의원2011년10월지2013년5월채용복강경담낭절제、담총관탐사치료담낭결석합병담총관결석환자114례적림상자료，기중채용 T 관인류조61례，내치관인류조53례。비교량조수술시간、술중출혈량、주원비용、주원시간、대관시간、병발증발생솔。결과량조재수술시간、술중출혈량、주원비용방면비교차이무통계학의의（P >0.05）；내치관인류조환자주원시간、대관시간요명현소우 T 관인류조，차이유통계학의의（P <0.05）。량조술후균무담관잔여결석급담루、도관등병발증발생。결론복강경담총관내치관인류술충분발휘료미창치료담관결석적우월성，보지료담도적완정성화정상적생리공능，치득추엄。
Objective To investigate the clinical efficacy of laparoscopic common bile duct (GBD)exploration with endobiliary drainage. Methods From October 2011 and May 2013,the clini-cal data of 114 patients with gallbladder and CBD stones underwent laparoscopic cholecystectomy and CBD exploration were retrospectively analyzed. Sixty-one patients underwent the laparoscopic cholecystec-tomy and LCBDE(T tube drainage group),and 53 patients underwent endobiliary drainage(endobiliary drainage group). The operation time,blood loss,hospitalization costs,hospital stay time,the time of tube extraction and complication rate were compared between the two groups. Results The operation time,blood loss,and hospitalization costs in the two groups had no significant difference(P > 0. 05). The hospital stay time and the time of tube extraction of endobiliary drainage group was shorter than that in group T tube drainage(P < 0. 05). There were no complications of retained stones,bile leak or biliary stricture. Conclusions Laparoscopic endobiliary catheter drainage is a minimally invasive treatment for bile duct stones,and can keep the integrity of the biliary tract and normal physiological function,so is worthy of promotion.