CAJ | 학술논문

目的：探讨腹腔镜联合胆管镜用于临床胆总管探查术后一期缝合的可行性。方法对本院2011年5月~2014年6月就诊的的80例患者进行临床研究，随机分为治疗组与对照组，治疗组患者接受腹腔镜胆总管探查并一期缝合，对照组患者接受传统治疗并一期缝合，观察比较两组患者的临床疗效。结果治疗组平均手术时间较对照组短，差异有统计学意义（P<0.05）；治疗组平均术中出血量较对照组少，差异有统计学意义（P<0.05）；治疗组平均住院时间（6.5±4.0）d，明显短于对照组（P<0.05）；治疗组发生胆漏所占比例为5%，对照组胆漏所占比例为10%，差异有统计学意义（P<0.05）；治疗组平均术后恢复至排气时间较对照组短，差异有统计学意义（P<0.05）。结论腹腔镜联合胆管镜治疗胆总管结石一期缝合术在严格选择病例前提下，是安全可行的，值得基层医院推广。
목적：탐토복강경연합담관경용우림상담총관탐사술후일기봉합적가행성。방법대본원2011년5월~2014년6월취진적적80례환자진행림상연구，수궤분위치료조여대조조，치료조환자접수복강경담총관탐사병일기봉합，대조조환자접수전통치료병일기봉합，관찰비교량조환자적림상료효。결과치료조평균수술시간교대조조단，차이유통계학의의（P<0.05）；치료조평균술중출혈량교대조조소，차이유통계학의의（P<0.05）；치료조평균주원시간（6.5±4.0）d，명현단우대조조（P<0.05）；치료조발생담루소점비례위5%，대조조담루소점비례위10%，차이유통계학의의（P<0.05）；치료조평균술후회복지배기시간교대조조단，차이유통계학의의（P<0.05）。결론복강경연합담관경치료담총관결석일기봉합술재엄격선택병례전제하，시안전가행적，치득기층의원추엄。
Objective To investigate the feasibility of the primary closure of common bile duct after the exploration by the combination of laparoscopic and choledochal. Methods 80 patients who were cured in our hospital from May 2011 to June 2014 were choosen as our research project,and randomly divided into treatment group and control group,treat-ment group was received the primary closure of common bile duct after the exploration of the combination of laparo-scopic and choledochal.Control group were conducted by traditional treatment and suture.Clinical effect between two groups was compared. Results The average operation time in treatment group was significantly shortened than that in control group,with statistical difference(P<0.05);The average amount of bleeding in operation of treatment group was less than that in control group,with statistical difference(P<0.05);The average hospitalization time of treatment group was de-creased compared with control group (P<0.05);Bile leakage accounted for 5%in treatment group,while bile leakage was 10% in control group,with statistical difference (P<0.05);The average post-operative of treatment group after the restoration was shorter than in control group,with statistical difference (P<0.05). Conclusion Laparoscopic combined with bile duct endoscopy in the treatment of common bile duct stones, a stage suture in the strict choice of case,is safe and feasible,it is worthy of the promotion primary hospital.