CAJ | 학술논문

目的：探讨完全腹腔镜下保胆取石术治疗胆囊结石的临床疗效。方法：将2008年1月-2011年1月行保胆取石术患者100例分为治疗组50例和对照组50例。治疗组采用完全腹腔镜下保胆取石术，对照组采用开腹后保胆取石术，记录两组围手术期的平均手术时间、术后排气时间、平均住院时间，随访治疗效果和复发情况。结果：完全腹腔镜保胆取石手术平均手术时间（58.2±12.5）min，与对照组的（84.9±16.4）min比较，差异有统计学意义（P<0.05）。治疗组术后排气时间（23.7±1.8）h，与对照组的（36.9±1.2）h比较，差异有统计学意义（P<0.05）。治疗组的住院时间（5.1±0.9）d，与对照组的（8.3±1.6）d比较，差异有统计学意义（P<0.05）。治疗组患者发生并发症1例，对照组发生7例，两组比较差异有统计学意义（P<0.O5）。治疗组复发1例，对照组复发3例，两组比较差异无统计学意义（P>0.O5）。结论：完全腹腔镜下保胆取石术治疗胆囊结石（息肉）具有安全、可靠，创伤小、恢复快、并发症少等优点，适于推广和普及。
목적：탐토완전복강경하보담취석술치료담낭결석적림상료효。방법：장2008년1월-2011년1월행보담취석술환자100례분위치료조50례화대조조50례。치료조채용완전복강경하보담취석술，대조조채용개복후보담취석술，기록량조위수술기적평균수술시간、술후배기시간、평균주원시간，수방치료효과화복발정황。결과：완전복강경보담취석수술평균수술시간（58.2±12.5）min，여대조조적（84.9±16.4）min비교，차이유통계학의의（P<0.05）。치료조술후배기시간（23.7±1.8）h，여대조조적（36.9±1.2）h비교，차이유통계학의의（P<0.05）。치료조적주원시간（5.1±0.9）d，여대조조적（8.3±1.6）d비교，차이유통계학의의（P<0.05）。치료조환자발생병발증1례，대조조발생7례，량조비교차이유통계학의의（P<0.O5）。치료조복발1례，대조조복발3례，량조비교차이무통계학의의（P>0.O5）。결론：완전복강경하보담취석술치료담낭결석（식육）구유안전、가고，창상소、회복쾌、병발증소등우점，괄우추엄화보급。
Objective:To explore clinical curative effect of the totally laparoscopic cholecystolithotomy in treatment of cholecystolithiasis.Method:From January 2008 to January 2011,the gall preserving lithotomy of 100 patients were divided into treatment group (50 cases) and control group (50 cases) .Treatment group were treated with laparoscopic cholecystolithotomy, the control group using laparotomy after cholecystolithotomy. The average operation time, peri operation period, postoperative exhaust time, hospitalization time, follow-up treatment and relapse of two groups were recorded.Result: The average operation time in the treatment group was (58.2±12.5) minutes and was (84.9±16.4)minutes in the control group, the differences was statistically significant(P<0.05). The postoperative exhaust time in treatment group was (23.7±1.8)hours and (36.9±1.2)in the control group,the differences was statistically significant(P<0.05).Hospitalization time in the treatment group was (5.1±0.9)days and (8.3±1.6)days in the control group, the differences was statistically significant(P<0.05). Complications occurred in 1 cases in the treatment group and 7 patients in the control group,the differences was statistically significant(P<0.05). Recurrence occurred in 1 cases in the treatment group and 3 patients in the control group, the differences was no statistically significant (P>0.05).Conclusion:Laparoscopic cholecystolithotomy for gallbladder stones (polyP) is safe,reliable,small injury, quick recovery,less complications,and is suitable for popularization and popularization.