腹腔镜胆囊切除术与开腹胆囊切除术治疗老年急性胆囊炎的疗效比较  

Comparison between laparoscopic cholecystectomy and open cholecystectomy for elderly patients with acute cholecystitis

作　　者：马雪[1] 胡占升[1] 

机构地区：[1]辽宁医学院附属第一医院急诊科,锦州市121000

出　　处：《实用医学杂志》2015年第6期931-933,共3页The Journal of Practical Medicine

基　　金：辽宁省教育厅基金(编号:2008419)

摘　　要：目的:比较腹腔镜胆囊切除术与开腹胆囊切除术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:选取2010年1月至2013年12月因急性胆囊炎于我院行腹腔镜胆囊切除术的年龄在65岁及以上的患者共136例,根据手术方式分为两组,其中开腹胆囊切除术组(A组)76例,腹腔镜胆囊切除术组(B组)60例,比较分析两组的治疗效果。结果:两组在术前住院时间、手术时间、术中出血量等方面均无统计学差异(P>0.05)。腹腔镜胆囊切除术组的术后住院时间较开腹胆囊切除术组明显缩短(P<0.05),且术后并发症较开腹胆囊切除术组发生率明显降低(P<0.05)。结论:腹腔镜胆囊切除术治疗老年急性胆囊炎患者安全有效,与开腹胆囊切除术比较,并发症少、住院时间短,值得在临床上推广应用。Objective To compare the effects of different surgical methods for the recovery of elderly patients with acute cholecystitis and provide reference for its clinical treatment. Methods 60 Patients aged 65 years or older undergoing laparoscopic cholecystectomy for acute cholecystitis between January 2010 and December 2013 were selected from the database. The comparison group comprised 76 patients from the same agegroup who underwent open cholecystectomy for acute cholecystitis. Then the curative effects of two groups were compared and analyzed. Results 76 patients underwent laparoscopic surgery and 60 had open surgery. The demographic data and co-morbidities were compared between the two groups. The postoperative hospital stay was significantly shorter for patients undergoing laparoscopy（P〈0.05）. The overall complication rate was significantly lower for patients undergoing laparoscopy（P〈0.05）. There was no statistical significant difference in the operating time and the bleeding among the operation. Conclusions Laparoscopic cholecystectomy is a safe procedure for acute cholecystitis in elderly patients, resulting in fewer complications and shorter hospital stay than open cholecystectomy. Laparoscopic cholecystectomy is worth in the clinical application.

关 键 词：急性胆囊炎 腹腔镜胆囊切除术 开腹胆囊切除术 老年人 

分 类 号：R657.4[医药卫生—外科学]