CAJ | 학술논문

目的：探讨和分析腹腔镜胆囊切除术治疗胆结石的临床疗效。方法：2011年3月-2013年5月收治胆结石患者74例，随机分为对照组和观察组，每组37例。对照组采取传统开腹胆囊切除术治疗，观察组采取腹腔镜胆囊切除术治疗，观察比较两组手术时间、术中出血量、住院时间、肛门排气时间、术后并发症及临床疗效。结果：经不同手术方法治疗后，观察组总有效率94.6%，明显优于对照组总有效率73.05，组间比较差异有统计学意义(P＜0.05)；两组各项指标比较，观察组明显优于对照组，组间比较差异有统计学意义(P＜0.05)；术后两组并发症发生率比较，观察组并发症发生率10.8%，明显低于对照组并发症发生率29.7%，组间比较差异有统计学意义(P＜0.05)。结论：对于胆结石患者，采用腹腔镜胆囊切除术治疗，能够明显缩短手术时间，减少术中出血量，而且术中痛苦小，并发症发生率低，临床疗效确切，值得临床推广及应用。
목적：탐토화분석복강경담낭절제술치료담결석적림상료효。방법：2011년3월-2013년5월수치담결석환자74례，수궤분위대조조화관찰조，매조37례。대조조채취전통개복담낭절제술치료，관찰조채취복강경담낭절제술치료，관찰비교량조수술시간、술중출혈량、주원시간、항문배기시간、술후병발증급림상료효。결과：경불동수술방법치료후，관찰조총유효솔94.6%，명현우우대조조총유효솔73.05，조간비교차이유통계학의의(P＜0.05)；량조각항지표비교，관찰조명현우우대조조，조간비교차이유통계학의의(P＜0.05)；술후량조병발증발생솔비교，관찰조병발증발생솔10.8%，명현저우대조조병발증발생솔29.7%，조간비교차이유통계학의의(P＜0.05)。결론：대우담결석환자，채용복강경담낭절제술치료，능구명현축단수술시간，감소술중출혈량，이차술중통고소，병발증발생솔저，림상료효학절，치득림상추엄급응용。
Objective:To investigate and analyse the therapeutic effect of laparoscopic cholecystectomy for gallstones.Methods:74 cases with gallstone were selected from March 2011 to May 2013.They were randomly divided into the control group and the observation group with 37 cases in each.The control group were treated with traditional open cholecystectomy.The observation group were adopted laparoscopic cholecystectomy.Then observe and compare operation time,intraoperative blood loss, hospitalization time,anal exhaust time,postoperative complications and clinical efficacy in two groups.Results:After the treatment of different operation methods,the total efficiency of observation group was 94.6%,and it was significantly better than the control group with the total efficiency of 73.05%,and there was statistical significance between the two groups(P<0.05).When compared the indicators of two groups,the observation group were better than the control group,and the difference were statistically significante between the two groups(P<0.05).Compared postoperative complications rate of two groups,the observation group was 10.8% ,significantly lower than the control group with the complications rate of 29.7% ,and the difference were statistically significante between the two groups(P<0.05).Conclusion:In the treatment on patients with gallstones,laparoscopic cholecystectomy can significantly shorten the operation time,bleeding less.Intraoperative pain is small.The rate of complications low.It also had curative clinical effect,so it is worthy of clinical promotion and application.