老年急性胆囊炎79例最佳手术时间研究  

Best Surgical Time for 79 Cases of Elderly Patients with Acute Cholecystitis

作　　者：王海峰[1] 敖百顺 胡国超[1] 

机构地区：[1]北京市房山区第一医院普通外科,102400

出　　处：《实用医学杂志》2014年第14期2223-2225,共3页The Journal of Practical Medicine

摘　　要：目的:比较不同手术时间对老年急性胆囊炎患者治疗效果的影响,为临床提供借鉴资料。方法:回顾性分析我院2008年1月至2013年9月收治的79例老年急性胆囊炎患者的临床资料,按照不同手术时间分为两组,发病72 h内手术的42例作为早期手术组,发病72 h后手术的37例作为延期手术组,比较分析两组的治疗效果。结果:早期手术组的治疗成功率为97.6%,延期手术组为91.9%,组间差异无统计学意义(P>0.05);早期手术组的手术时间明显短于延期手术组、术中出血量明显少于延期手术组、住院时间明显短于延期手术组,组间差异有统计学意义(P<0.05),而两组的术后排气时间差异无统计学意义(P>0.05);早期手术组的并发症发生率为2.4%,延期手术组为18.9%,组间差异有统计学意义(P<0.05);早期手术组的住院费用明显少于延期手术组(P<0.05)。结论:老年急性胆囊炎早期手术治疗能够获得更佳治疗效果,有利于患者的及早康复,是经济、有效的手术治疗方案。Objective To compare the effects of different surgical time for the recovery of elderly patients with acute cholecystitis and provide reference for its clinical treatment. Methods Clinic data of 79 elderly patients with acute cholecystitis from January 2008 to September 2013 were analyzed retrospectively. Patients were divided into two groups according to different surgical time, 42 cases having surgery within 72 h as early surgery group, and 37 cases having surgery later than 72h as delayed surgery group then the curative effects of two groups were compared and analyzed. Results The success rate of early surgery group reached 97.6%, and that of delayed surgery group 91.9%, which showed no statistically significant difference （P 〉 0.05）; with shorter operative time, less blood loss, shorter length of hospital stay and less medical cost, patients recovered better in early surgery group than those in delayed surgery group and there were statistically significant differences between two groups （P〈0.05）, while the postoperative discharge time of two groups had no significant difference （P〉0.05）.The complication rate of early surgery group was 2.4%, and that of delayed surgery group 18.9%, which indicated statistically significant difference （P〈0.05）. Conclusions Early surgical treatment for elderly patients with acute cholecystitis has a good therapeutic effect and is beneficial to the early rehabilitation of patients.

关 键 词：急性胆囊炎 早期手术 延期手术 老年人 

分 类 号：R657.4[医药卫生—外科学]