CAJ | 학술논문

目的：探讨用腹腔镜胆囊切除术治疗胆囊结石合并急性胰腺炎的临床效果。方法：对2011年4月～2013年4月期间我院收治的68例胆囊结石合并急性胰腺炎患者的临床资料进行回顾性研究。我们将这68例患者随机分为观察组和对照组，每组各有34例患者。我院使用开腹胆囊切除术对对照组患者进行治疗，使用腹腔镜胆囊切除术对观察组患者进行治疗。治疗结束后，比较两组患者手术的时间、住院的时间和发生并发症的几率。结果：两组患者均顺利完成手术。其中，观察组患者手术的时间、住院的时间均明显短于对照组患者，其发生术后并发症的几率明显低于对照组患者，二者相比差异具有显著性（P<0.05）。结论：用腹腔镜胆囊切除术治疗胆囊结石合并急性胰腺炎具有效果好、手术时间短、患者在术后恢复快和发生并发症的几率低等优点。因此，该手术可作为治疗胆囊结石合并急性胰腺炎的首选方法。
목적：탐토용복강경담낭절제술치료담낭결석합병급성이선염적림상효과。방법：대2011년4월～2013년4월기간아원수치적68례담낭결석합병급성이선염환자적림상자료진행회고성연구。아문장저68례환자수궤분위관찰조화대조조，매조각유34례환자。아원사용개복담낭절제술대대조조환자진행치료，사용복강경담낭절제술대관찰조환자진행치료。치료결속후，비교량조환자수술적시간、주원적시간화발생병발증적궤솔。결과：량조환자균순리완성수술。기중，관찰조환자수술적시간、주원적시간균명현단우대조조환자，기발생술후병발증적궤솔명현저우대조조환자，이자상비차이구유현저성（P<0.05）。결론：용복강경담낭절제술치료담낭결석합병급성이선염구유효과호、수술시간단、환자재술후회복쾌화발생병발증적궤솔저등우점。인차，해수술가작위치료담낭결석합병급성이선염적수선방법。
Objective: To observe the clinical effect of laparoscopic cholecystectomy in the treatment of gallbladder stone and acute pancreatitis. Methods: 68 cases of cholelithiasis from 2011 April to 2013 April in our hospital were acute pancreatitis patients as the research object, randomly divided into observation group and control group with 34 cases in each group, 34 cases were given laparoscopic cholecystectomy in the treatment, 34 cases in the control group were treated with open operation treatment. Results:the patients in the observation group of 2 patients with jaundice and pain, a total of 2 cases, accounting for 5.9%; the control group after operation, 6 cases with postoperative infection, pulmonary infection in 4 cases, a total of 10 cases, accounting for 29.4%, the complication rate is higher, the treatment effect is obvious lower than those in the observation group (p<0.05), statistically significance. Conclusion: the use of laparoscopic cholecystectomy for gallstone acute pancreatitis and early, not only can improve clinical operation, at the same time, good effect, can promote early rehabilitation of patients.