腹腔镜切除术治疗老年急性胆囊炎的临床观察

Clinical Observation of Laparoscopic surgery in the Elderly with Acute Cholecystitis

中文关键词: 老年  急性胆囊炎  腹腔镜切除术  手术成功率  并发症率

英文关键词: elderly  acute cholecystitis  surgical success rate  occurrence of complications

中文摘要:

      目的 探究腹腔镜切除术治疗老年急性胆囊炎的临床疗效.方法 选择2014年12月-2016年12月在四川省广元市第二人民医院急诊外科接受治疗的60例老年急性胆囊炎患者,使用随机数字表法分为观察组和对照组,每组30例.观察组给予腹腔镜胆囊切除术治疗,对照组给予开腹胆囊切除术治疗.对2组患者的手术成功率、并发症发生情况、住院时间和术中出血量等手术情况进行综合评价.结果 观察组手术成功29例,手术成功率达到96.7％,对照组手术成功率仅为70.0％,2组差异有统计学意义(P＜0.05);观察组手术治疗后有2例患者出现并发症,并发症率为6.7％,显著低于对照组的33.3％ (P＜0.05),统计学有意义;且观察组手术时间、术中出血量以及住院时间等指标与对照组呈现明显差异(均P＜0.05).结论 对老年急性胆囊炎患者给予腹腔镜胆囊切除术治疗,创伤小、成功率高、并发症少,能够缩短患者住院时间,提升老年患者的生存质量,在老年急性胆囊炎治疗中有一定的推广价值.

英文摘要:

      Objective To explore the clinical effect of laparoscopic surgery on the elderly with acute cholecystitis.Methods A retrospective analysis was made to 60 elderly patients with acute cholecystitis hospitalized during the period from December,2014 to December,2016,who were randomly divided into 2 groups:observation group (n =30) and control group (n=30);laparoscopic cholecystectomy was performed on patients in observation group while open cholecystectomy on patients in control group;a comprehensive evaluation was made to the surgical success rate,the occurrence of complications,hospitalization days and the bleeding volume in operation of the patients in the 2 groups.Results The surgical success rate in observation group was 96.7 ％ while that in control group was 70.0 ％,the difference between the 2 groups was of statistical significance (P ＜ 0.05);the occurrence of complications in observation group was 6.7 ％ while that in control group was 33.3 ％,the difference between the 2 groups was of statistical significance (P＜0.05);there existed obvious difference between the 2 groups in operation time length,the bleeding volume in operation and hospitalization days (P＜0.05).Conclusions Laparoscopic cholecystectomy is of smaller wound,higher success rate and less complications in treating acute cholecystitis in the elderly,and it can shorten the hospitalization duration and raise the living quality of the elderly;it is worthy of wider clinical application.