摘要
目的探究在治疗老年性胆囊炎中应用腹腔镜胆囊切除术和使用开腹胆囊切除术分别所具有的疗效。方法随机选择该院2012年6月—2016年12月时段内53例曾在该院进行腹腔镜胆囊切除术治疗的老年结石性胆囊炎患者作为实验组进行分析,同时取同时段内50例使用开腹胆囊切术治疗的老年结石性胆囊炎患者作为对照组,从而比较两组患者进行手术时的情况以及术后并发症发生情况。结果实验组手术进行时间为(65.7±11.6)min,切口长度为(2.5±1.4)cm,出血量为(31.4±8.5)m L,排期时间为(1.7±0.6)h,住院天数为(4.8±1.3)d,与进行开腹切除胆囊的对照组患者对应值(87.3±12.8)min,(7.8±2.4)cm,(76.4±8.4)m L,(3.5±1.8)h,(10.4±2.6)d,相比,差异有统计学意义(P<0.05);而对于术后情况,实验组患者术后出现并发症的有7例,占13.52%,未发生切口感染和心梗,出现胆漏的有2例,占3.77%。出现肺部感染的有1例,占1.89%,对比对照组,除了胆漏情况相近外,其余各项指标实验组均较优良且与对照组相比差异有统计学意义(P<0.05)。结论使用腹腔镜胆囊切除技术治疗老年结石性胆囊炎的疗效较为优良,因其具有微创,短时,简便,易恢复等特点而值得临床上推广。
Objective To study the curative effect of laparoscopic cholecystectomy and open cholecystectomy in treatment of senile cholecystitis. Methods 103 cases of senile patients with cholecystitis admitted and treated in our hospital from June2012 to December 2016 were selected and divided into two groups, the experimental group with 53 cases adopted the laparoscopic cholecystectomy, while the control group with 50 cases adopted the open cholecystectomy, and the operation situation and occurrence of postoperative complications were compared between the two groups. Results The differences in the operation time, cut length, bleeding amount, scheduling time and length of stay between the experimental group and in the control group were statistically significant, [（65.7±11.6）min,（2.5±1.4）cm,（31.4±8.5）mL,（1.7±0.6）h,（4.8±1.3）d vs（87.3±12.8）min,（7.8±2.4）cm,（76.4±8.4）mL,（3.5±1.8）h,（10.4±2.6）d]（P〈0.05）, and in the experimental group after surgery, there were 7 cases with complications, accounting for 13.52%, and there were no cases with infection or myocardial infarction, 2cases with bile leakage（3.77%） and 1 case with lung infection（1.89%）, and the other indexes in the experimental group were better than those in the control group except the bile leakage, and the differences were statistically significant（P〈0.05）. Conclusion The curative effect of laparoscopic cholecystectomy in treatment of senile cholecystitis is excellent and good, especially it is simple and minimally invasive and is easy to recover, and it is worth clinical promotion.
出处
《中外医疗》
2017年第17期93-94,97,共3页
China & Foreign Medical Treatment
关键词
腹腔镜胆囊切除术
开腹胆囊切除术
临床疗效
Laparoscopic cholecystectomy
Open cholecystectomy
Clinical curative effect
