CAJ | 학술논문

目的：观察腹腔镜联合内镜治疗胆囊结石继发胆总管结石的临床效果。方法选取2011年2月~2013年2月在本院治疗的156例胆囊结石继发胆总管结石患者，按随机数字表法分为对照组和观察组，各78例，对照组行开腹切开胆总管取石与胆囊切除术，观察组行内镜乳头括<肌切开胆总管取石及腹腔镜胆囊切除术，比较两组的手术时间和术后排便、排气、禁食时间及并发症发生率。结果观察组手术时间及术后排便、排气、禁食时间均明显短于对照组，差异有统计学意义(P<0.05)；观察组并发症发生率明显低于对照组，差异有统计学意义(P<0.05)。结论腹腔镜联合内镜治疗胆囊结石继发胆总管结石的临床效果显著，并发症发生率低，可提高患者的生活与工作质量，值得临床推广应用。
목적：관찰복강경연합내경치료담낭결석계발담총관결석적림상효과。방법선취2011년2월~2013년2월재본원치료적156례담낭결석계발담총관결석환자，안수궤수자표법분위대조조화관찰조，각78례，대조조행개복절개담총관취석여담낭절제술，관찰조행내경유두괄<기절개담총관취석급복강경담낭절제술，비교량조적수술시간화술후배편、배기、금식시간급병발증발생솔。결과관찰조수술시간급술후배편、배기、금식시간균명현단우대조조，차이유통계학의의(P<0.05)；관찰조병발증발생솔명현저우대조조，차이유통계학의의(P<0.05)。결론복강경연합내경치료담낭결석계발담총관결석적림상효과현저，병발증발생솔저，가제고환자적생활여공작질량，치득림상추엄응용。
Objective To observe the clinical effect of laparoscopic combined with endoscopic in the treatment of cholecystolithiasis associated with choledocholithiasis. Methods 156 patients with cholecystolithiasis associated with choledocholithiasis from February 2011 to February 2013 in our hospital were selected and divided into control group and observation group according to random number table method,each group of 78 cases.Open choledocholithotomy and cholecystectomy were used in control group,laparoscopic cholecystectomy and endoscopic retrograde bile duct stone were used in observation group.The operation time,postoperative defecation time,exhaust time,fasting time and incidence rate of complication in two groups was compared respectively. Results Operation time,postoperative defecation time,ex-haust time,fasting time of observation group was significantly shorter than that of control group respectively,with statis-tical difference (P<0.05).The incidence rate of complication in observation group was significantly lower than that in control group,with statistical difference (P<0.05). Conclusion The clinical effect of laparoscopic combined with endo-scopic in the treatiment of cholecystolithiasis associated with choledocholithiasis is very remarkable,fewer complication, it can improve the quality of patient’s life and work,it is worthy of clinical promotion and application.