CAJ | 학술논문

目的：：探讨微创内镜保胆取息肉术与腹腔镜胆囊切除术治疗胆囊息肉的疗效。方法：128例胆囊息肉患者随机分为观察组和对照组，每组64例，观察组行微创内镜保胆取息肉术治疗，对照组行腹腔镜胆囊切除术治疗。对比分析两组患者术中出血量、手术时间、术后第1次排气时间、术后不良反应和并发症等。结果：观察组患者术中出血量、手术时间、第1次排气时间、不良反应发生率、并发症发生率均明显低(短)于对照组，组间比较差异具有统计学意义(P＜0.05)。结论：微创内镜保胆取息肉术治疗胆囊息肉具有操作简单、手术时间短、创伤小、出血少、术后排气早及恢复快、并发症少等优点。
목적：：탐토미창내경보담취식육술여복강경담낭절제술치료담낭식육적료효。방법：128례담낭식육환자수궤분위관찰조화대조조，매조64례，관찰조행미창내경보담취식육술치료，대조조행복강경담낭절제술치료。대비분석량조환자술중출혈량、수술시간、술후제1차배기시간、술후불량반응화병발증등。결과：관찰조환자술중출혈량、수술시간、제1차배기시간、불량반응발생솔、병발증발생솔균명현저(단)우대조조，조간비교차이구유통계학의의(P＜0.05)。결론：미창내경보담취식육술치료담낭식육구유조작간단、수술시간단、창상소、출혈소、술후배기조급회복쾌、병발증소등우점。
Objective: To investigate the curative effects on treating gallbladder polyp with endoscopic minimally invasive polypectomy with gallbladder preservation and laparoscopic cholecystectomy.Methods: 128 gallbladder polyp patients were randomly divided into observation group and control group with 64 patients in each group. The patients in observation group were treated with endoscopic minimally invasive polypectomy with gallbladder preservation; while the patients in control group were treated with laparoscopic cholecystectomy. Blood loss during operation, time of operation, the first exhaust time after operation, adverse reactions and complications after operation of patients in 2 groups were comparatively analyzed.Results:The blood loss during operation, time of operation, the ifrst exhaust time after operation, incidence of adverse reaction and complication incidence of patients in observation group were obviously lower than that of patients in control group (P<0.05).Conclusions: Treating gallbladder polyp with endoscopic minimally invasive polypectomy with gallbladder preservation has the advantages of easy operation, short operative time, less injury, less bleeding, early postoperative exhaust, fast recovery and less complication.