CAJ | 학술논문

目的：分析腹腔镜胆总管切开纤维胆管镜取石T管引流术(LCHTD)在临床治疗肝胆管结石方面的安全性和可行性。方法：选取2012年7月-2014年6月笔者所在医院收治的60例肝胆管结石患者，随机分成观察组和对照组，每组30例，其中观察组实施LCHTD进行手术，对照组实施常规手术。对两组患者的住院时间、手术时间、胃肠道蠕动的恢复时间、手术出血量和手术并发症等进行观察和记录，对患者的疗效以及安全性进行评定。结果：观察组手术时间明显长于对照组(P<0.01)；胃肠道蠕动恢复时间、手术出血量、住院时间等比较，观察组显著低于对照组(P<0.01)；观察组并发症发生率显著低于对照组(P<0.05)。结论：LCHTD在临床上肝胆管结石的治疗方面可有效减少住院和恢复的时间，降低手术出血量，减少并发症的发生，利于患者尽早康复，值得临床借鉴和进一步推广。
목적：분석복강경담총관절개섬유담관경취석T관인류술(LCHTD)재림상치료간담관결석방면적안전성화가행성。방법：선취2012년7월-2014년6월필자소재의원수치적60례간담관결석환자，수궤분성관찰조화대조조，매조30례，기중관찰조실시LCHTD진행수술，대조조실시상규수술。대량조환자적주원시간、수술시간、위장도연동적회복시간、수술출혈량화수술병발증등진행관찰화기록，대환자적료효이급안전성진행평정。결과：관찰조수술시간명현장우대조조(P<0.01)；위장도연동회복시간、수술출혈량、주원시간등비교，관찰조현저저우대조조(P<0.01)；관찰조병발증발생솔현저저우대조조(P<0.05)。결론：LCHTD재림상상간담관결석적치료방면가유효감소주원화회복적시간，강저수술출혈량，감소병발증적발생，리우환자진조강복，치득림상차감화진일보추엄。
Objective:To analyze the feasibility and safety of laparoscopic choledocholithotomy choledochofiberscope via T-tube drainage(LCHTD) for hepatolithiasis.Method:60 patients with hepatolithiasis were selected as the research treated in our hospital from July 2012 to June 2014.These patients were randomly divided into observer group(30 cases) and control group(30 cases).The observer group were done LCHTD,and the control group were done conventional operation.These two groups were compared for time of hospitalization,recovery time of bowel peristalsis,in operation duration,blood loss and complications. And the therapeutic effect and safety were evaluated.Result:The operative time in the observer group was longer than that in the control group,showed significant difference(P<0.01);the recovery time of bowel peristalsis,operation blood loss and time of hospitalization in the observer group were significantly lower than those in the control group(P<0.01);operation complications was significantly lower than that in the control group(P<0.05).Conclusion:LCHTD can decrease the hospital time,recovery time,bleeding volume,the rate of complications in clinical treatment of hepatolithiasis.It is conducive to recovery of the patients and worth using for reference and popularizing.