CAJ | 학술논문

目的：研究胆总管结石采用腹腔镜胆总管取石术治疗在患者术后恢复及并发症方面的优越性。方法随机选取该院近年收治的胆总管结石患者共90例，随机分为对照组及观察组。对照组采用常规手术操作，观察组实施腹腔镜手术操作。对比两组患者术后恢复情况以及并发症发生率差异性。结果术后出现胆1例，经引流治愈；残余结石胆总管结石2例，术后6周经T管窦道胆道镜取出，无手术死亡。术后恢复方面，观察组手术时间长于对照组，但术后各项情况恢复均较快；并发症方面，观察组术后切口感染及疼痛发生率明显低于对照组。各项对比差异显著(P<0.05)。结论对胆总管结石采用腹腔镜胆总管取石术治疗疗效较优，患者术后恢复较快且并发症发生率较低，具有临床推广价值。
목적：연구담총관결석채용복강경담총관취석술치료재환자술후회복급병발증방면적우월성。방법수궤선취해원근년수치적담총관결석환자공90례，수궤분위대조조급관찰조。대조조채용상규수술조작，관찰조실시복강경수술조작。대비량조환자술후회복정황이급병발증발생솔차이성。결과술후출현담1례，경인류치유；잔여결석담총관결석2례，술후6주경T관두도담도경취출，무수술사망。술후회복방면，관찰조수술시간장우대조조，단술후각항정황회복균교쾌；병발증방면，관찰조술후절구감염급동통발생솔명현저우대조조。각항대비차이현저(P<0.05)。결론대담총관결석채용복강경담총관취석술치료료효교우，환자술후회복교쾌차병발증발생솔교저，구유림상추엄개치。
Objective To study the superiority of laparoscopic choledocholithotomy in the postoperative recovery and complications of patients with choledocholithiasis. Methods 90 patients with choledocholithiasis were selected as the research object, and ran-domly divided into control group and observation group. The control group was treated by routine operation, while the observation group was treated by laparoscopic operation. The postoperative recovery status and complication rate of the two groups were com-pared. Results The operation time of the observation group was significantly longer than that of the control group, while other re-covery status of the observation group were significantly better than those of the control group. The rates of wound infection and pain in the observation group were significantly lower than those of control group. The differences above showed statistical signifi-cance (P<0.05). Conclusion For patients with choledocholithiasis, laparoscopic choledocholithotomy has a better treatment effect, in which patients recovered quickly and the low rate of complications is lower, therefore it is worthy of promotion in clinic.