基层医院高龄胆囊结石患者治疗的探析

Analysis of treatment in aged patients with cholecystolithiasis in primary hospital

目的:探讨基层医院高龄胆囊结石患者的外科治疗特点。方法:回顾性分析152例65岁以上高龄老年胆囊结石患者手术治疗的临床资料。结果:152例中100例(66%)合并其他疾病,152例病人均经手术治疗,术式以胆囊切除、胆道探查为主,胆囊切开取石+胆囊造瘘3例,共治愈124例(82%)。结论:掌握手术适应症和手术时机,积极处理并存病,是减少老年胆道病人术后并发症,降低病死率的关键。

Objective： To explore characteristics of surgical treatment in elder patients with cholecystolithiasis. Methods： To analyze the clinical data of 152 elder patients （over 65 years old） with cholecystolithiasis retrospectively. Results： Among the 152 cases, 100 （66%） cases had complications, 152 aged patients were operated. Cholecystectomy with exploration of common bile duct was the main operation style, 3 cases were treated with sub-cholecystectomy combined stump fistulization, 124 cases （92%） were cured.Conclusion： To master operative indication and timing and actively mange concomitant disease plays an important role in reducing post-operation complication and decreasing mortality of aged patients with cholecystolithiasis.