CAJ | 학술논문

目的：探讨腹腔镜微创治疗肝胆结石患者的有效性及安全性,为优化治疗方案提供科学依据。方法选取2012年1月~2014年1月本院收治的80例肝胆结石患者,随机分为观察组与对照组,观察组进行腹腔镜微创治疗,对照组进行开腹手术治疗,比较两组的治疗效果。结果观察组手术时间为(60.1±12.8)min,短于对照组的(75.3±15.3)min,差异有统计学意义(P<0.05)。观察组术中出血量为(65.4±18.5)ml,少于对照组的(129.6±39.2)ml,差异有统计学意义(P<0.05)。观察组排气时间为(23.6±7.8)h,少于对照组的(35.2±12.4) h,差异有统计学意义(P<0.05)。观察组住院时间为(7.2±2.3)d,短于对照组的(13.5±4.5)d,差异有统计学意义(P<0.05)。观察组不良反应发生率(20.0%)低于对照组(57.5%),差异有统计学意义(P<0.05)。结论腹腔镜微创治疗肝胆结石可有效缩短患者的手术时间,减少术中出血量,促进患者术后恢复,减少术后不良反应的发生,安全性高,值得推广应用。
목적：탐토복강경미창치료간담결석환자적유효성급안전성,위우화치료방안제공과학의거。방법선취2012년1월~2014년1월본원수치적80례간담결석환자,수궤분위관찰조여대조조,관찰조진행복강경미창치료,대조조진행개복수술치료,비교량조적치료효과。결과관찰조수술시간위(60.1±12.8)min,단우대조조적(75.3±15.3)min,차이유통계학의의(P<0.05)。관찰조술중출혈량위(65.4±18.5)ml,소우대조조적(129.6±39.2)ml,차이유통계학의의(P<0.05)。관찰조배기시간위(23.6±7.8)h,소우대조조적(35.2±12.4) h,차이유통계학의의(P<0.05)。관찰조주원시간위(7.2±2.3)d,단우대조조적(13.5±4.5)d,차이유통계학의의(P<0.05)。관찰조불량반응발생솔(20.0%)저우대조조(57.5%),차이유통계학의의(P<0.05)。결론복강경미창치료간담결석가유효축단환자적수술시간,감소술중출혈량,촉진환자술후회복,감소술후불량반응적발생,안전성고,치득추엄응용。
Objective To explore effectiveness and safety of micro-invasive surgery by laparoscopy in the treatment of hepatobiliary calculus and provide scientific basis for optimizing therapeutic regimen. Methods 80 patients with hepa-tobiliary calculus from January 2012 to January 2014 in our hospital were selected and randomly divided into observa-tion group and control group.Micro-invasive surgery by laparoscopy was provided in observation group,while laparotomy was adopted in control group.Effect in both groups was compared. Results The operation time in observation group was (60.1±12.8)min,shorter than that in control group[(75.3±15.3)min],with statistical difference(P<0.05).Amount of bleeding during surgery in observation group was(65.4±18.5)ml,less than that in control group[(129.6±39.2)ml],with statistical dif-ference(P<0.05).The exhaust time in observation group was(23.6±7.8)h,shorter than that in control group[(35.2±12.4)h], with statistical difference (P<0.05).Hospital stay time in observation group was (7.2±2.3)d,shorter than that in control group [(13.5±4.5)d],with statistical difference (P<0.05).The incidence rate of adverse reaction in observation group was 20.0%,lower than that in control group (57.5%),with statistical difference (P<0.05). Conclusion Micro-invasive surgery by laparoscopy in the treatment of hepatobiliary calculus can effectively shorten patient’s operation time and reduce amount of intraoperative bleeding,promote postoperative recovery and reduce the occurrence of adverse reaction after surgery.It has high safety and is worthy of expansion and application.