CAJ | 학술논문

目的：研究在基层医院应用腹腔镜技术治疗胆总管结石的可行性。方法将32例胆总管结石患者随机分为腹腔镜手术组(17例腹腔镜胆道探查，即LCHTD组，简称L组)与开腹手术组(15例开腹胆总管探查，即OCHTD组，简称O组)，分析对比2组患者的临床资料。结果 L组术中出血量、术后肠蠕动恢复、住院时间均显著优于O组(均P<0.05)。结论 LCHTD术式具有较大优势，可在腹腔镜技术掌握较好的基层医院逐步开展。
목적：연구재기층의원응용복강경기술치료담총관결석적가행성。방법장32례담총관결석환자수궤분위복강경수술조(17례복강경담도탐사，즉LCHTD조，간칭L조)여개복수술조(15례개복담총관탐사，즉OCHTD조，간칭O조)，분석대비2조환자적림상자료。결과 L조술중출혈량、술후장연동회복、주원시간균현저우우O조(균P<0.05)。결론 LCHTD술식구유교대우세，가재복강경기술장악교호적기층의원축보개전。
Objective To study feasibility of choledocholithotomy by laparoscopic surgery in primary hospital.Methods 32 patients with choledochoilthiasis were divided randomly into laparoscopic surgery group (17 cases of laparoscopic choledocholithotomy T-tube drainage,LCD-TD group) and open surgery group (15 cases of open choledocholithotomy T-tube drainage,OCH-TD group). The clinical data in the two groups were compared and analyzed.Results LCHTD group were signifi cantly superior to OCHTD groupin blood loss,biliary duct injury,the recovery time of intestinal peristalsis after operation,length of hospital stay (P<0.05) .Conclusion LCH-TD surgery has great advantages,it can be applied in the primary hospitals.