CAJ | 학술논문

目的：对腹腔镜微创治疗肝胆结石疗效进行观察分析。方法对2008年4月-2014年4月期间在该院接受治疗的100例肝胆结石患者进行临床研究，随机分为对照组和研究组，对对照组进行常规胆囊切除加胆总管切开取石术，对研究组进行腹腔镜胆囊切除加胆总管切开取石术治疗，观察比较两组患者的临床疗效。结果研究组患者的术中出血量、术后肛门排气时间和住院时间均明显低于对照患者，组间差异有统计学意义(P<0.05)。研究组患者的结石残余、胆瘘、切口感染等不良反应的发生率为4%，明显低于对照组的24%(P<0.05)。结论腹腔镜微创治疗肝胆结石的临床效果较好，患者可较快恢复，不良反应少，安全性好，存在一定临床价值。
목적：대복강경미창치료간담결석료효진행관찰분석。방법대2008년4월-2014년4월기간재해원접수치료적100례간담결석환자진행림상연구，수궤분위대조조화연구조，대대조조진행상규담낭절제가담총관절개취석술，대연구조진행복강경담낭절제가담총관절개취석술치료，관찰비교량조환자적림상료효。결과연구조환자적술중출혈량、술후항문배기시간화주원시간균명현저우대조환자，조간차이유통계학의의(P<0.05)。연구조환자적결석잔여、담루、절구감염등불량반응적발생솔위4%，명현저우대조조적24%(P<0.05)。결론복강경미창치료간담결석적림상효과교호，환자가교쾌회복，불량반응소，안전성호，존재일정림상개치。
Objective To observe and analyze the effect of minimally invasive laparoscopic treatment of hepatic gallstones. Meth-ods From April 2008 to April 2014 in our hospital treated 100 cases of liver gallstones clinical study were randomly divided into a control group and study group to conduct routine cholecystectomy group therapy, the study group laparoscopic minimally invasive treatment, clinical efficacy were observed between the two groups of patients. Results The study group of patients with blood loss, postoperative flatus time and hospital stay were significantly lower than the control patients, the difference was statistically signifi-cant (P<0.05). Study group had residual stones, biliary fistula, wound infection and other adverse reactions rate of 4%, significantly lower than the 24%in the control group (P<0.05). Conclusion Minimally invasive laparoscopic treatment of liver gallstones clinical better, patients can recover faster, fewer adverse reactions, the security is good, and it exists some clinical value.