腹腔镜胆囊切除术对老年胆结石病人疗效及并发症的临床观察  

Observation of the effect of laparoscopic cholecystectomy and complications in elderly patients with cholelithiasis

作　　者：郑力 

机构地区：[1]北京市东城区第一人民医院外科,北京市100075

出　　处：《实用老年医学》2017年第6期558-560,共3页Practical Geriatrics

摘　　要：目的探讨腹腔镜胆囊切除术治疗老年胆结石的术中出血量、并发症发生率及止痛药使用情况。方法随机选取2015年6月至2016年6月期间我院收治的80例老年胆结石病人,根据手术方式不同分为2组,对照组病人采用常规手术方式,观察组病人采用腹腔镜胆囊切除术,对比观察2组病人术中出血量、并发症及其止痛药使用情况。结果观察组病人术中出血量为(45.4±9.6)ml,明显低于对照组[(153.2±30.5)ml],观察组病人并发症发生率为7.50%,与对照组(22.50%)比较,差异无统计学意义(P>0.05)。观察组病人的临床疗效达到了97.50%,其止痛药使用率(30.00%)也明显低于对照组(77.50%),2组比较差异具有统计学意义(P<0.01)。结论老年胆结石病人采用腹腔镜胆囊切除术术中出血量较少,有效减轻了术后疼痛表现,具有积极的临床应用价值。Objective To investigate the amount of intraoperative bleeding, complication rate and the rate of use of analgesics in the treatment of eholelithiasis in elderly patients with laparoscopic cholecystectomy. Methods Eighty cases of elderly patients with eholelithiasis, selected from our hospital from June 2015 to June 2016, were randomly divided into two groups according to different surgical methods. The control group was treated by routine surgery, and the observation group was treated by laparoscopic eholeeystectomy. The complications, blood loss, and the use of analgesics were observed in the two groups. Results Compared with the control group, intraoperative bleeding of the observation group was significantly decreased [ （ 153.2±30. 5） ml vs （45.4±9.6） ml] （P〈0. 05）, the rate of complications of the observation group showed no significant differences （22. 50% vs 7.50% ） （P〉 0. 05）, and the rate of analgesic use was significantly decreased （77.50% vs 30. 00%） （P〈0. 01 ）. The clinical efficacy of the observation group reached 97.50%. Conclusions Laparoscopic cholecystectomy shows less bleeding, and effectively reduces postoperative pain in the elderly patients with cholelithiasis.

关 键 词：腹腔镜 胆囊切除术 胆结石 老年人 

分 类 号：R657.4[医药卫生—外科学]