CAJ | 학술논문

目的：探讨高原地区微创保胆取石术治疗胆囊结石的临床疗效及临床使用价值。方法选取我院胆囊结石患者61例分为对照组和观察组，对照组31例，观察组30例，对照组采用小切口保胆取石术，观察组采用腹腔镜保胆取石术，对比两组患者临床疗效及不良反应发生情况。结果观察组患者围手术期情况显著优于对照组，观察组不良反应控制的总有效率为96.7%明显优于对照组的83.9%，观察组不良反应更少，结果具有统计学意义（P＜0.05）。结论腹腔镜保胆取石治疗胆囊结石疗效更佳，且痛苦小，能够保留胆囊功能，减少术后各种并发症的发生，高原地区高龄或者肺功能较差胆结石患者推荐使用腹腔镜微创保胆取石术。
목적：탐토고원지구미창보담취석술치료담낭결석적림상료효급림상사용개치。방법선취아원담낭결석환자61례분위대조조화관찰조，대조조31례，관찰조30례，대조조채용소절구보담취석술，관찰조채용복강경보담취석술，대비량조환자림상료효급불량반응발생정황。결과관찰조환자위수술기정황현저우우대조조，관찰조불량반응공제적총유효솔위96.7%명현우우대조조적83.9%，관찰조불량반응경소，결과구유통계학의의（P＜0.05）。결론복강경보담취석치료담낭결석료효경가，차통고소，능구보류담낭공능，감소술후각충병발증적발생，고원지구고령혹자폐공능교차담결석환자추천사용복강경미창보담취석술。
Objective To study and analysis of clinical efficacy and value of stone operation with preservation of gallbladder in plateau area. Methods 61 cases of gallstone in our hospital were divided into control group and observation group, 31 cases in the control group and 30 cases in the observation group, the control group received small incision cholecystotomy, the observation group was treated with laparoscopic cholecystolithotomy. And the incidence of adverse reactions in two groups were compared the clinical efficacy. Results The operation time, bleeding volume, the exhaust time, hospitalization time of patients in observation group was significantly better than the control group. The total efficiency to control of adverse reactions in the observation group was 96.7%(only 1 cases),which was better than the control group83.9%(5 cases),P<0.05.Conclusion Paul gallbladder gallstone op-eration in treatment of laparoscopic cholecystolithotomy effect well with less pain and adverse reaction. Senile patient or poor lung function patients with gallstone in plateau are recommended the use of laparoscopic minimally invasive gall preserving lithotomy.