CAJ | 학술논문

目的:探讨腹腔镜保胆取石治疗胆囊结石的可行性与安全性.方法:将64例胆囊结石患者随机分为治疗组和对照组,每组各32例.治疗组采用腹腔镜下保胆取石术,对照组采用腹腔镜胆囊切除术(LC).观察两组手术成功率、手术时间、术后进食时间、住院时间及术后并发症的发生情况.结果:治疗组和对照组手术成功率比较差异无统计学意义(P>0.05);两组的手术时间比较无显著性差异(P>0.05),但术中出血量、术后进食时间及术后住院时间比较,治疗组显著优于对照组比较,差异均有统计学意义(P<0.05);两组术后并发症的发生率分别为12.5%和9.4%,差异无统计学意义(P>0.05).结论:腹腔镜保胆取石治疗胆囊结石安全高效、术后并发症少,但需严格掌握手术适应证.
목적:탐토복강경보담취석치료담낭결석적가행성여안전성.방법:장64례담낭결석환자수궤분위치료조화대조조,매조각32례.치료조채용복강경하보담취석술,대조조채용복강경담낭절제술(LC).관찰량조수술성공솔、수술시간、술후진식시간、주원시간급술후병발증적발생정황.결과:치료조화대조조수술성공솔비교차이무통계학의의(P>0.05);량조적수술시간비교무현저성차이(P>0.05),단술중출혈량、술후진식시간급술후주원시간비교,치료조현저우우대조조비교,차이균유통계학의의(P<0.05);량조술후병발증적발생솔분별위12.5%화9.4%,차이무통계학의의(P>0.05).결론:복강경보담취석치료담낭결석안전고효、술후병발증소,단수엄격장악수술괄응증.
Objective:To explore feasibility and safety of gallbladder-preserving cholelithotomy with laparoscope in the treatment of cholecystolithiasis.Methods:64 patients with cholecystolithiasis were randomly divided into two groups,including 32 cases of treatment group,32 cases of control group.The treatment group was treated with gallbladder-preserving cholelithotomy with laparoscope,and the control group was treated with laparoscopic cholecystectomy (LC).The success rate of operation,operation time,feeding time after operation,stay-in-hospital time after operation and complications were compared.Results:There was no significant difference between the two groups in success rate of operation(P<0.05).The bleeding,feeding time after operation,stay-in-hospital time after operation in treatment group was significantly better than those in control group (P<0.05),while the difference on operation time was not statistically significant(P>0.05).The complications after operation in treatment group was 12.5% and 9.4% in control group,the difference was not significant (P>0.05).Conclusion:Gallbladder-preserving cholelithotomy with laparoscope in the treatment of cholecystolithiasis is safe and effective,and has less complications,but operation should be applied in consideration with it indications.