CAJ | 학술논문

目的：探讨硬质胆道镜治疗肝胆管结石的临床价值。方法：选取2013年10月~2014年10月本院收治的60例肝胆管结石患者临床资料，随机分为观察组与对照组，各30例。观察组取硬质胆道镜治疗，对照组取传统开腹手术治疗，对比两组患者的临床疗效。结果：观察组手术时间、术后引流时间明显短于对照组，术中出血量少于对照组，差异有统计学意义(P<0.05)。观察组即刻结石残留率、最终结石残留率、胆管炎复发率、结石复发率均明显低于对照组，差异有统计学意义(P<0.05)。结论：硬质胆道镜治疗肝胆管结石具有明显的无创性、安全性，手术时间较短，减少出血量，降低结石残留率，避免疾病术后复发，值得临床推广。
목적：탐토경질담도경치료간담관결석적림상개치。방법：선취2013년10월~2014년10월본원수치적60례간담관결석환자림상자료，수궤분위관찰조여대조조，각30례。관찰조취경질담도경치료，대조조취전통개복수술치료，대비량조환자적림상료효。결과：관찰조수술시간、술후인류시간명현단우대조조，술중출혈량소우대조조，차이유통계학의의(P<0.05)。관찰조즉각결석잔류솔、최종결석잔류솔、담관염복발솔、결석복발솔균명현저우대조조，차이유통계학의의(P<0.05)。결론：경질담도경치료간담관결석구유명현적무창성、안전성，수술시간교단，감소출혈량，강저결석잔류솔，피면질병술후복발，치득림상추엄。
objective: to investigate the clinical value of rigid choledochoscope therapy hepatolith. Selection methods: in October 2013 to October 2014 in our hospital clinical data of 60 patients with hepatolith, were randomly divided into observation group and control group, 30 cases each. Take rigid choledochoscope therapy group, control group take the traditional open surgery, compared the clinical efficacy of two groups of patients. Results: the operation time, postoperative drainage time observation group was obviously shorter than the control group, intraoperative blood loss less than the control group, the difference was statistically significant (P<0.05). Observation group with immediate retention rate, final stones residual rate, recurrent cholangitis, calculi recurrence rates were signifi-cantly lower than the control group, the difference was statistically significant (P<0.05). Conclusion:rigid choledochoscope treatment hepatolith has obvious non- invasive, security, shorter operation time, less blood loss, decrease the rate of stone residues, avoid disease recurrence, worth clinical promotion.