CAJ | 학술논문

选取2012年1月～2014年1月我院收治的108例胆囊结石合并胆总管结石患者，随机分为观察组和对照组各54例。对照组给予患者常规开腹术治疗，观察组患者LC+ERCP术治疗。对比两组患者的手术时间、术中出血量、术后排气时间、术后排便时间、术后禁食时间、住院天数和住院费用。对比两组患者术后并发症发生情况和复发率。结果观察组患者的手术时间、术中出血量、术后排气时间、术后排便时间、术后禁食时间、住院天数和住院费用均显著少于对照组，比较两组间差异具有统计学意义（P＜0.05）。观察组患者的术后并发症发生率和复发率均显著低于对照组，比较两组间差异具有统计学意义（P＜0.05）。LC+ERCP治疗胆囊结石并继发胆总管结石较常规开腹手术具有较好的临床疗效，且术后并发症发生率和复发率也较低，可以在临床进一步推广和使用。
선취2012년1월～2014년1월아원수치적108례담낭결석합병담총관결석환자，수궤분위관찰조화대조조각54례。대조조급여환자상규개복술치료，관찰조환자LC+ERCP술치료。대비량조환자적수술시간、술중출혈량、술후배기시간、술후배편시간、술후금식시간、주원천수화주원비용。대비량조환자술후병발증발생정황화복발솔。결과관찰조환자적수술시간、술중출혈량、술후배기시간、술후배편시간、술후금식시간、주원천수화주원비용균현저소우대조조，비교량조간차이구유통계학의의（P＜0.05）。관찰조환자적술후병발증발생솔화복발솔균현저저우대조조，비교량조간차이구유통계학의의（P＜0.05）。LC+ERCP치료담낭결석병계발담총관결석교상규개복수술구유교호적림상료효，차술후병발증발생솔화복발솔야교저，가이재림상진일보추엄화사용。
Objective To analyze the macroscopic tonsillectomy combined with endoscopic retro-grade bilious stone (LC+ERCP) treatment of gallstones and secondary clinical efficacy of common bile duct stones. Methods January 2012~2014 January our hospital for treatment of gallstones and bilious stones in 108 patients, using a random number table method of 108 patients were di-vided into two groups and the control group, 54 cases. Administered to the control group of pa-tients with conventional open surgery treatment, patients were observed LC+ERCP treatment. Com-pared two groups of patients with operative time, blood loss,postoperative discharge time, defeca-tion time, postoperative fasting time, hospital stay and hospital costs. Contrast the situation and the relapse rate in patients with postoperative complications in the two groups. Results The pa-tient's operation time, blood loss,postoperative discharge time, defecation time, postoperative fasting time, hospital stay and hospital costs were significantly less than the control group of patients, comparing the difference between the two groups statistically significant (P<0.05). The incidence of postoperative complications and relapse rate of patients in the observation group was significantly lower than the control group were compared between the two groups was statistically significant (P<0.05). Conclusion LC+ERCP treatment of gallstones and secondary bile duct stones than con-ventional open surgery has better clinical efficacy, and the incidence of postoperative complica-tions and recurrence rate is low, it is possible tofurther promote and clinical use.