731例老年人胆囊疾病临床分析

731 senile patients with gall bladder disease

目的为更好地诊治老年人胆囊疾病。方法对731例体格检查发现的老年期和老年前期胆囊疾病患者进行了随访，观察其症状、并发症及手术情况。结果老年期胆囊结石的患病率明显高于老年前期，在60—69岁组为20．2％，70～79岁组为32．9％，80岁及以上组为48．0％；而在老年前期为9．5％。胆囊息肉则与年龄关系不如胆囊结石明显。70．0％的胆囊疾病患者无症状，典型发作随增龄而减少；胆囊疾病合并冠心病在老年期随增龄而增加，部分患者胆囊切除后心脏症状缓解。结论老年人胆囊疾病症状多样，与心脏疾病关系密切，应该密切随访．适时手术。

Objective To treat senile gall bladder disease better. Methods Observed the symptoms,complications and operative condition of 731 senile and pro - senile patients with gall bladder disease. Results The morbidity of senile gall bladder patients was higher than pre - senile ones ,ages from 60 to 69 was 20. 2% ,ages from 70 to 79 was 32. 9% ,ages above 80 was 48%, while pre -senile was 9.5%. Patients with gall polyps were not as obvions as patients with gall -stone,70.0% patients had no symptom. Typical seisave decreased with age increases. Morbidity of senile patients with gall bladder disease and coronary diseases increased with age increase. Some cardic symgton relieved after cholectomy. Conclusion Symptoms of senile patients with gall bladder disease are various, closely related to cardiac disease. We should visit the patients closely and ready for operation.