急诊腹腔镜胆囊切除术治疗老年结石性胆囊炎的临床研究  

Clinical Study of Emergency Laparoscopic Cholecystectomy in Treatment of Senile Cholecystitis Resection

作　　者：蒋武[1] 高迁[1] 

机构地区：[1]四川省安岳县人民医院,四川安岳642350

出　　处：《中国医学创新》2015年第17期135-136,共2页Medical Innovation of China

摘　　要：目的:探究分析急诊腹腔镜胆囊切除术治疗老年结石性胆囊炎的临床疗效。方法:选择本科120例老年结石胆囊炎患者,随机分为治疗组及对照组,治疗组采取腹腔镜胆囊切除术进行治疗,对照组采取开腹手术进行治疗,对比两组患者的临床疗效及手术情况。结果:治疗组临床总有效率为96.67%,对照组临床总有效率为71.67%,两组比较差异有统计学意义(P<0.05)。此外,治疗组的手术时间、术中出血量、术后排气时间、术后住院时间均优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:急性腹腔镜胆囊切除术运用于老年结石性胆囊炎,临床效果良好,值得推广运用。Objective：To explore the clinical curative effect acute cholecystitis laparoscopic cholecystectomy for for the treatment of senile calculous cholecystitis.Method：120 elderly patients with calculous cholecystitis in our hospital were chose, they were randomly divided into treatment group and control group.Treatment group was treated with laparoscopic cholecystectomy, the control group adopted open operation for treatment,two groups of patients with the clinical curative effect and operation situation were compared.Result：The total effective rate of treatment group was 96.67%,the control group was 71.67%,the difference between the two groups had statistical significance （P〈0.05）.In addition,the treatment group of operation time, intraoperative blood loss,postoperative exhaust time,postoperative hospital stay were superior to control group,the differences between the two groups had statistical significance （P〈0.05）.Conclusion：Laparoscopic cholecystectomy used in elderly acute calculous cholecystitis,clinical effect is good,worth extending application.

关 键 词：急性结石性胆囊炎 开腹手术 老年患者 

分 类 号：R657.41[医药卫生—外科学]