老年胆结石100例手术治疗临床体会  

Clinical experience of surgical treatment of 100 cases of senile gallstones

作　　者：叶荣强[1] 谢元才[1] 钟鼎文[1] 

机构地区：[1]江西省赣州市人民医院普外一科,江西赣州341000

出　　处：《中国当代医药》2016年第26期19-21,共3页China Modern Medicine

摘　　要：目的探讨老年胆结石手术治疗方法和效果。方法选取2013年2月~2015年9月我院收治的老年胆结石患者100例,根据手术方式的不同分为腔镜手术组和常规手术组。常规手术组采用传统胆囊切除手术进行治疗,腔镜手术组采用腹腔镜胆囊切除手术进行治疗。比较两组患者胆囊切除手术时间、术中出血量、术后肛门排气时间、住院天数和治愈率、并发症发生率及术后生存质量。结果腔镜手术组治愈率与常规手术组相似（P〉0.05）;腔镜手术组并发症发生率低于常规手术组（P〈0.01）;腔镜手术组患者胆囊切除手术时间与常规手术组比较,差异无统计学意义（P〉0.05）;腔镜手术组患者术中出血量、术后肛门排气时间、住院天数均少于常规手术组（P〈0.01）;腔镜手术组患者术后生存质量明显优于常规手术组（P〈0.05）。结论老年胆结石采用腹腔镜胆囊切除手术进行治疗效果确切,可有效减少手术创伤,减少术中出血和术后并发症的发生,加速术后肛门排气,缩短住院时间,促进手术后患者生存质量的提高,值得推广。Objective To explore the method and effect of the treatment of senile patients with gallstones.Methods Sources of information in our hospital from February 2013 to September 2015,100 cases of cholelithiasis were treated,according to the different surgical methods,divided into endoscopic surgery group and conventional surgery group.Conventional surgery group was used traditional gallbladder resection surgery treatment;endoscopic surgery group was used laparoscopic gallbladder resection surgery treatment.In the two groups of patients with cholecystectomy operation time,bleeding volume,postoperative anal exhaust time,hospital days and the cure rate,the incidence of complications,postoperative quality of life were compared.Results The cure rate of laparoscopic surgery group was similar to conventional surgery group（P〉0.05）,complication rate of laparoscopic surgery group was lower than that of conventional surgery group（P〈0.01）.Laparoscopic surgery group patients with cholecystectomy with conventional surgery group had no significant difference（P〉0.05）.Laparoscopic surgery group of intraoperative bleeding,postoperative anal exhaust time,hospitalization time were less than those of conventional surgery group（P〈0.01）.The quality was superior to conventional laparoscopic surgery group survival surgery group（P〈0.05）.Conclusion Cholelithiasis by laparoscopic surgery for treatment,can effectively reduce the surgical trauma,reduce the intraoperative bleeding and postoperative complications after,accelerate postoperative anal exhaust,shorten the hospitalization time,improve the quality of life in patients with postoperative,worthy of promotion.

关 键 词：老年胆结石 腹腔镜胆囊切除术 排气时间 生存质量 

分 类 号：R575.62[医药卫生—消化系统]