老年人胆石症的外科治疗临床分析  

Surgical Treatment of Elderly Clinical Analysis of Cholelithiasis

作　　者：顾自强 蒋袁磊 

机构地区：[1]海门市中医院,江苏海门226100

出　　处：《辽宁中医药大学学报》2009年第12期122-123,共2页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的探讨老年胆囊结石临床特点及外科手术治疗经验。方法：回顾性分析2007年1月—2008年12月80例老年胆囊结石患者的临床资料。结果：急诊手术17例,择期手术63例：行单纯胆囊切除术57例、胆总管切开取石术加T管引流术17例、胆囊切除术胆总管切开取石术加T管引流术6例;全组病人均完成手术,术中无死亡;治愈78例,自动出院1例,死亡1例,为急诊手术后感染中毒性休克死亡;手术并发症10例,经对症治疗治愈。住院9-34天,平均（13.9±4.5）天。结论：老年人胆石症的外科治疗必须针对老年人胆道疾病的特点,选择合适的手术时机,精心做好围手术期处理,采取得当的术式,才能减少并发症提高治愈率。Objective： Explore the clinical features senile gallstones and surgical treatment experience. Methods： Retrospective analysis from january 2007 to december 2008 of 80 cases clinical data of patients with gallstones. Results： Emergency surgery in 17 cases, 63 cases of elective surgery. With simple cholecysteetomy in 57 cases, common bile duct incision plus T-tube drainage in 17 eases, eholecystectomy plus common bile duct incision T-tube drainage in 6 cases. The whole group of patients were completed surgery, no intraoperative deaths; cured 78 cases, automatically discharged in 1 case, 1 patient died for acute post-operative infections, toxic shock and death; surgical complications in 10 cases, cured by symptomatic treatment. Hospital 9-34 days, the average （13.9 ± 4.5） days. Conclusion： Surgical treatment of cholelithiasis in the elderly should address the characteristics of biliary tract disease in the elderly, select the appropriate timing of surgery, and carefully do a good job of perioperative treatment, surgical properly taken in order to reduce complications to improve the cure rate.

关 键 词：老年人 胆结石 胆囊炎 外科治疗 

分 类 号：R575.62[医药卫生—消化系统]