CAJ | 학술논문

目的：观察腹腔镜逆行次全胆囊切除术治疗慢性结石性胆囊炎的疗效。方法选取2012年1月-2013年12月期间来我院进行治疗的110例慢性结石性胆囊炎患者，将110例患者随机分为对照组与观察组，两组各55例，对照组采用腹腔镜逆行全胆囊切除术进行治疗，观察组采用腹腔镜逆行次全胆囊切除术进行治疗。结果两组患者均在腹腔镜下顺利完成手术，观察组的手术时间、所需补液量、术中出血量均少于对照组（ P <0.05）。结论与腹腔镜逆行全胆囊除术治疗慢性结石性胆囊炎相比，采用腹腔镜逆行次全胆囊切除术具有手术操作更简单、手术时间更短等特点，在临床上值得应用和推广。
목적：관찰복강경역행차전담낭절제술치료만성결석성담낭염적료효。방법선취2012년1월-2013년12월기간래아원진행치료적110례만성결석성담낭염환자，장110례환자수궤분위대조조여관찰조，량조각55례，대조조채용복강경역행전담낭절제술진행치료，관찰조채용복강경역행차전담낭절제술진행치료。결과량조환자균재복강경하순리완성수술，관찰조적수술시간、소수보액량、술중출혈량균소우대조조（ P <0.05）。결론여복강경역행전담낭제술치료만성결석성담낭염상비，채용복강경역행차전담낭절제술구유수술조작경간단、수술시간경단등특점，재림상상치득응용화추엄。
ObJective:To observe the effect of laparoscopic subtotal cholecystectomy retrograde treatment on chronic calculous cholecystitis. Methods:One hundred and ten cases of chronic calculous cholecystitis patients in our hospital from January 2012 - December 2013,were randomly divided into the control group and observation group,with 55 people in each,the control group received laparoscopic retrograde all cholecystectomy treatment,and the observation group was trea-ted with laparoscopic retrograde subtotal cholecystectomy. Results:The operation of 110 patients were successfully per-formed under laparoscopy. The operation time,desired set of fluid volume and bleeding volume were less in the observation group than those in the control group(P < 0. 05). Conclusion:With the laparoscopic retrograde gallbladder operation in the treatment of chronic calculous cholecystitis by laparoscopic,retrograde cholecystectomy surgical operation is simple and operation time is less,which is worth of application and promotion clinically.