CAJ | 학술논문

目的：探讨腹腔镜辅助胆道镜保胆取石术与腹腔镜胆囊切除术治疗胆囊结石的疗效差异。方法选取我院诊断为胆囊结石的96例患者，分为研究组与对照组，每组48例。对比研究组和对照组的手术时间、手术出血量、术后住院天数及住院费用、术后并发症发生情况以及术后4个月胆囊炎症状。结果研究组和对照组的手术时间、手术出血量、术后住院天数及住院费用结果比较无差异（P>0.05）；研究组和对照组术后均未发生黄疽、胆漏、腹腔出血、切口疝、切口液化等不良反应，结果比较无差异（P>0.05）；研究组和对照组术后4个月胆囊炎症状结果比较有差异（P<0.05）。结论腹腔镜辅助胆道镜保胆取石术与腹腔镜胆囊切除术治疗胆囊结石手术损伤相近，但是前者保留了胆囊的生理功能，术后患者生存质量更好，胆道系统不良症状更少。
목적：탐토복강경보조담도경보담취석술여복강경담낭절제술치료담낭결석적료효차이。방법선취아원진단위담낭결석적96례환자，분위연구조여대조조，매조48례。대비연구조화대조조적수술시간、수술출혈량、술후주원천수급주원비용、술후병발증발생정황이급술후4개월담낭염증상。결과연구조화대조조적수술시간、수술출혈량、술후주원천수급주원비용결과비교무차이（P>0.05）；연구조화대조조술후균미발생황저、담루、복강출혈、절구산、절구액화등불량반응，결과비교무차이（P>0.05）；연구조화대조조술후4개월담낭염증상결과비교유차이（P<0.05）。결론복강경보조담도경보담취석술여복강경담낭절제술치료담낭결석수술손상상근，단시전자보류료담낭적생리공능，술후환자생존질량경호，담도계통불량증상경소。
Objective??To?discuss?the?effect?difference?of?the?treatment?of?gallstone?between?by?laparoscopic-assisted?choledochoscopic?gallbladder-preserving?cholecystolithotomy and laparoscopic cholecystectomy (LC).Methods??96?cases?of?gallstone?patients?were?selected?and?divided?into?study?group?and?control?group,?48?cases?in?each?group.?Results??The?operative?time,?blood?loss,?postoperative?hospital?stay?and?hospital?costs?of?two?groups?showed?no?statistically?signiifcant difference (P>0.05); both groups didn’t occur adverse reactions such as jaundice, bile leakage, abdominal bleeding, wound hernia, and wound liquefaction; 4 months after the operation cholecystitis symptoms of two groups had signiifcant differences (P<0.05).?Conclusion??The?study?suggested?that?laparoscopic-assisted choledochoscopic gallbladder-preserving cholecystolithotomy and LC had similar surgical damage for gallstone treatment, but the former?preserved?the?physiological?functions?of?the?gallbladder,?hence?had?a?better?life?quality?and?fewer?adverse?symptoms?of?biliary?system.