CAJ | 학술논문

目的：探讨腹腔镜下胆囊及阑尾联合切除的效果。方法收集我院急诊科收治的急性阑尾炎患者26例，行腹腔镜单纯阑尾切除术(阑尾组)，另收集急性阑尾炎合并慢性结石性胆囊炎者22例，行腹腔镜胆囊联合阑尾切除(联合组)，比较两组术后是否使用止痛剂、手术时间、排气时间、住院时间、白细胞计数比较。结果行48次手术，均顺利完成，无1例中转开腹，两组从手术时间相比有统计学差异，<0.05，从术后是否使用止痛剂、排气时间、住院时间、白细胞计数比较无统计学差异，>0.05。结论腹腔镜下胆囊阑尾联合切除效果良好，值得推广。
목적：탐토복강경하담낭급란미연합절제적효과。방법수집아원급진과수치적급성란미염환자26례，행복강경단순란미절제술(란미조)，령수집급성란미염합병만성결석성담낭염자22례，행복강경담낭연합란미절제(연합조)，비교량조술후시부사용지통제、수술시간、배기시간、주원시간、백세포계수비교。결과행48차수술，균순리완성，무1례중전개복，량조종수술시간상비유통계학차이，<0.05，종술후시부사용지통제、배기시간、주원시간、백세포계수비교무통계학차이，>0.05。결론복강경하담낭란미연합절제효과량호，치득추엄。
Objective To discuss ef ect of combined resection of gal bladder and appendix by laparoscopic. Methods Col ected a total of 26 cases patients with acute appendicitis from our hospital, were car ied alone laparoscopic appendectomy (appendectomy group), 22 cases patients with acute appendicitis and chronic calculous cholecystitis, were given laparoscopic gal bladder joint appendectomy(conbination group), comparing laparoscopic gal bladder joint appendix resection with laparoscopic appendectomy alone from the aspects of postoperative use of analgesics, operation time, exhaust time, length of hospital stay, and leukocyte counts. Results In 48 persons, success rate of operation was 100%. Operation time of joint group were obviously shorter than appendicitis group ( <0.05). The two groups was not statistical y dif erence from the aspects of postoperative use of analgesics, exhaust time, length of hospital stay, and leukocyte counts ( >0.05). Conclusion The ef ect of combined resection of gal bladder and appendix by laparoscopic is bet er, which was worthy of popularize.