CAJ | 학술논문

目的：观察胆囊结石行腹腔镜切除的临床效果。方法：以接受腹腔镜胆囊切除手术的56例胆囊结石患者为观察组，以同时期接受小切口手术的54例胆囊结石患者为对照组，比较两组患者治疗的临床效果及不良反应发生情况。结果：观察组手术时间、术中出血量、术后疼痛持续时间、术后肛门恢复排气时间、总住院时间方面均优于对照组，差异均有统计学意义（P ＜0．05）。观察组术后并发症发生率低于对照组，差异有统计学意义（P ＜0．05）。结论：腹腔镜具有手术时间短、术中出血少、术后疼痛时间短、胃肠道功能恢复快、患者住院时间短、并发症发生率低的特点，值得临床推广。
목적：관찰담낭결석행복강경절제적림상효과。방법：이접수복강경담낭절제수술적56례담낭결석환자위관찰조，이동시기접수소절구수술적54례담낭결석환자위대조조，비교량조환자치료적림상효과급불량반응발생정황。결과：관찰조수술시간、술중출혈량、술후동통지속시간、술후항문회복배기시간、총주원시간방면균우우대조조，차이균유통계학의의（P ＜0．05）。관찰조술후병발증발생솔저우대조조，차이유통계학의의（P ＜0．05）。결론：복강경구유수술시간단、술중출혈소、술후동통시간단、위장도공능회복쾌、환자주원시간단、병발증발생솔저적특점，치득림상추엄。
Objective To observe the therapeutic effect of laparoscopic resection on gallbladder stones.Methods Select 56 cases of gallstone patients receiving laparoscopic cholecystectomy operation as the observation group.54 cases of gallstone patients underwent small incision operation in the same period as the control group.The clinical effect and adverse reaction were compared between the two groups.Results The operation time,amount of bleeding ,postoperative pain duration ,recovery of postoperative anus exhaust and the total length of hospital stay of the observation groupwere all better than the control group while the difference was statistically significant (P <0.05).The postoperative complication rate of observation group is lower than the control group while the difference was statisti-cally significant (P <0.05).Conclusion Laparoscopic operation has the characteristics of shorter operation time,less bleeding during the operation,shorter postoperative pain time,faster recovery of gastrointestinal function,short hospital stay,lower incidence of com-plications that deserves promotion in clinical.