老年人胆囊疾患91例治疗体会

The treatment for 91 cases of old patients with gallbladder disease

目的:探讨不同情况下老年人胆囊疾患的治疗方法。方法:回顾性分析2001年9月至2005年1月91例60岁以上老年胆囊疾病患者的临床资料,对不同情况采用个体化治疗方法进行比较。结果:91例患者中腹腔镜胆囊切除(LC)74例,直接开腹(OC)5例,胆囊造瘘4例,B超引导下经皮经肝胆囊穿刺引流(PTGD)8例,均获临床治愈。结论:对胆囊疾患的老年患者,术前应全面掌握全身情况,认真分析胆囊的局部条件及病变性质,采用个体化治疗可达到安全、微创的治疗效果。

Objectlve：The purpose of the study was to eompare the different treatment in old patients with gallbladder disease. Methods：91 patients more than to 60 years old with gallbladder disease from Sep 2001 to Jan 2005 were analyzed retrospectively,and the individal therapy series were compared. Results：In 91 patients ,74 eases were performed laparoseopie eholecysteetomy（ LC ） ,5 were open choleeysteetomy （OC）. 4 were pereutaneous cholecysteetomy and 8 were B-type ultrasonegaplic guidance pereutaneous transhepatie gallbladder drainage（PTGD）. All achieved clinical reeoveried. Conclusions：With completely considering general condition of patients and carefully analyzing disease eharaeferistes using adaptively individual treatment can aquire safe and minimal incision cure effect.