老年急性结石性胆囊炎不同术式治疗的效果评价  

Evaluation of the Efficacy of Different Surgical Treatment in Elderly Patients with Acute Cholecystitis

作　　者：廖重五[1] 杨永[2] 

机构地区：[1]陕西省西安市中心医院普外一科,陕西西安710003 [2]广西医科大学第一附属医院,广西南宁530021

出　　处：《河北医学》2016年第4期572-574,共3页Hebei Medicine

基　　金：陕西省医学会基金资助;(编号:2586)

摘　　要：目的:分析开腹手术和腹腔镜治疗老年急性结石性胆囊炎不同术式的疗效。方法:采用回顾性分析方法随机选取我院2014年1月至2015年5月收治的100例老年急性结石性胆囊炎患者,治疗组(腹腔镜)50例,对照组(开腹手术)50例,对比两组的手术疗效和术后恢复情况。结果:治疗组的手术切口长度,出血量,肠功能恢复时间、术后疼痛及下床时间明显优于对照组(P<0.05),治愈有效率为96%,而对照组治愈率为86%。结论:经腹腔镜治疗老年急性结石性胆囊炎创伤小,术后恢复时间短,治疗效果优于开腹治疗。Objective： To analyze the curative effects of different operative methods in treatment of acute cholecystitis of elderly patients through laparotomy and laparoscope. Method： According to the retrospective analysis method,100 elderly patients with acute cholecystitis from January 2014 to May 2015 in our hospital were selected and randomly divided into two groups： 50 cases in treatment group（ laparoscope） and 50 cases in control group（ laparotomy）. The surgical curative effects and postoperative recovery were compared between two groups. Result： The operative incision length,blood loss,recovery time of intestinal function,postoperative pain and bed time in treatment group were much better than those in control group（ P〈0.05）. The cure rate was 96% in treatment group,but 86% in control group. Conclusion： Laparoscope brought small trauma and short postoperative recovery time in treatment of acute cholecystitis to elderly patients,and its treatment effect was superior to that of laparotomy.

关 键 词：结石性胆囊炎 腹腔镜 老年人 

分 类 号：R657.41[医药卫生—外科学]