CAJ | 학술논문

目的：探讨腹腔镜联合胆道镜行保胆取石术对老年患者胆囊功能的影响。方法选择80例胆囊结石患者，经超声检查确诊后行腹腔镜联合胆道镜保胆取石术，比较手术前后胆囊收缩能力、胆道宽度和脂肪泻发生率的变化，评价胆囊功能。结果腹腔镜联合胆道镜保胆取石成功率100%；手术前后胆囊容积比较无统计学差异（P＞0.05）；术后胆囊最大收缩率大于术前（P＜0.05）；术后胆囊最小剩余容积小于术前（P＜0.05）；术后患者胆囊容积、最大收缩率和最小剩余容积随着时间的推移未发现显著改变（P＞0.05）；手术前后脂肪泻的发生率比较无统计学差异（P＞0.05）；胆总管宽度手术前后比较无统计学差异（P＞0.05）。结论腹腔镜联合胆道镜保胆取石术对于治疗胆囊结石具有微创、便捷、安全、并发症少等优点，且在取出结石的同时保留了完整的胆囊功能。
목적：탐토복강경연합담도경행보담취석술대노년환자담낭공능적영향。방법선택80례담낭결석환자，경초성검사학진후행복강경연합담도경보담취석술，비교수술전후담낭수축능력、담도관도화지방사발생솔적변화，평개담낭공능。결과복강경연합담도경보담취석성공솔100%；수술전후담낭용적비교무통계학차이（P＞0.05）；술후담낭최대수축솔대우술전（P＜0.05）；술후담낭최소잉여용적소우술전（P＜0.05）；술후환자담낭용적、최대수축솔화최소잉여용적수착시간적추이미발현현저개변（P＞0.05）；수술전후지방사적발생솔비교무통계학차이（P＞0.05）；담총관관도수술전후비교무통계학차이（P＞0.05）。결론복강경연합담도경보담취석술대우치료담낭결석구유미창、편첩、안전、병발증소등우점，차재취출결석적동시보류료완정적담낭공능。
Objective To investigate the effect of treating cholecystalithiasis by laparoscope and choledochoscope for preservation of cholecyst of gerontal patient. Methods Data from 80 grontal cholecystolithiasis patients who were treated by laparoscope and choledochoscope were retrospectively andlysed. Results The success rate of laparoscope and choledochoscope was 100%, The comparation of gallbladder volume did no statistically significant differences between before and after surgery. Conclusion It is mini invasive, reliable and safe opetation to treat cholecyst stone by laparoscope and choledoehoscope for preservation normal function of the <br> cholecyst.