CAJ | 학술논문

目的：观察腹腔镜联合胆道镜治疗胆囊结石合并胆总管结石的疗效。方法将2012年1月～2014年1月我院应用腹腔镜联合胆道镜治疗胆囊结石患者合并胆总管结石50例患者作为观察组，另选择同期应用传统开腹手术治疗的胆囊结石患者合并胆总管结石患者50例作为对照组，观察比较两组患者的手术时间、术中出血量、置入引流管时间、住院时间及并发症发生率。结果观察组患者的手术时间、置入引流管时间、住院时间均显著短于对照组，术中出血量显著少于对照组，差异有统计学意义（P ＜0.05或 P＜0.01）。观察组并发症的发生率4.0％，明显低于对照组并发症的发生率20.0％，组间比较，差异具有显著性（x2=11.237，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确切，可以缩短手术时间及住院时间、降低并发症的发生率，值得推广和应用。
목적：관찰복강경연합담도경치료담낭결석합병담총관결석적료효。방법장2012년1월～2014년1월아원응용복강경연합담도경치료담낭결석환자합병담총관결석50례환자작위관찰조，령선택동기응용전통개복수술치료적담낭결석환자합병담총관결석환자50례작위대조조，관찰비교량조환자적수술시간、술중출혈량、치입인류관시간、주원시간급병발증발생솔。결과관찰조환자적수술시간、치입인류관시간、주원시간균현저단우대조조，술중출혈량현저소우대조조，차이유통계학의의（P ＜0.05혹 P＜0.01）。관찰조병발증적발생솔4.0％，명현저우대조조병발증적발생솔20.0％，조간비교，차이구유현저성（x2=11.237，P ＜0.05）。결론복강경연합담도경치료담낭결석합병담총관결석료효학절，가이축단수술시간급주원시간、강저병발증적발생솔，치득추엄화응용。
Objective To observe the clinical effect of laparoscopic combined with choledochoscope in treatment of gallstones and biliary stones. Methods From January 2012 to January 2014 in our hospital,selected 50 patients with choledocholithiasis in the application of laparoscopic combined gallstones choledochoscope treatment as the observation group,and another selected the same time 50 patients with gallstones and biliary calculi in the application of traditional open surgery as the control group,the operative time,blood loss,into the drainage tube time,hospitalization time and complication rate were observed and compared between two groups. Results The operative time,into the drainage tube time,hospitalization time of the observation group was significantly shorter than the control group,the blood loss was significantly less than the control group,the difference was statistically significant(P < 0.05 or P < 0.01).The incidence of complications of the observation group was 4.0% ,was significantly lower than the control group(20%),the difference was significant between two groups(x2=11.237,P < 0.05). Conclusion Laparoscopic combined with choledochoscope treatment has exact and significant effect in biliary calculi surgery,and can Shorter operative time and hospital stay,reduce the incidence of complications,it is should be promoted and applied.