124例80岁以上老年人胆石症手术分析  

Analysis of 124 cases of cholelithiasis operations in aged patients

作　　者：刘卫国[1] 李洪[1] 邢雪[1] 王一[1] 胡义利[1] 

机构地区：[1]青岛市市立医院肝胆外科,266011

出　　处：《中华老年医学杂志》2003年第5期277-278,共2页Chinese Journal of Geriatrics

摘　　要：目的　总结 80岁以上老年人胆石症手术治疗经验。　方法　回顾性分析 12 4例 80岁以上老年人胆石症的临床特点、手术方式及疗效。　结果　 91例 (73 4 % )患者并存其他疾病 ,92例 (74 2 % )以急性发作就诊 ,4 0例 (32 3% )行急诊手术 ,12例 (9 7% )并存胆管或胆囊癌。术式以胆囊切除、胆道探查为主。围手术期死亡 12例 (9 7% )。　结论　手术是治疗 80岁以上老年人胆石症相对安全、有效的方法 ,术式力求简单、有效 ,围手术期应注意并存症处理。Objective To summarize the experience of surgical operation on aged cholelithiasis patients. Methods The clinical data of 124 cases of clolelithiasis were studied retrospectively. Results Among the 124 cases, 91(73 4%)cases had complications,92(74 2%) hospitalizedin emergency,40(32 3%)underwent emergency operation and 12(7 9%) combined with cholecyst or bile ductcarcinoma. Cholecystectomy with exploration of common bile duct was the main operation style Twelve (9 7%)cases died during peri operation penad. Conclusions Surgical treatment of aged cholelithiasis is safe and effective. The operation must be simple and valid and surgeons should be careful for complications during peri operationperiod.

关 键 词：老年人 胆石症 手术分析 治疗 回顾性分析 

分 类 号：R657.42[医药卫生—外科学]