老年人胆囊结石合并心脏病行腹腔镜与剖腹胆囊切除的临床研究

The clinical study of open cholecystectomy of elderly people with heart disease and laparoscopic gallbladder

目的:探讨腹腔镜胆囊切除术治疗老年人胆囊结石合并心脏病的优越性和可行性。方法:胆囊结石合并心脏病的老年人112例,随机分成LC组56例和OC组56例;分别观察两组患者的临床效果和手术并发症的发生情况。结果:LC组的平均出血量(术中)、手术时间、提前进食时间及住院天数均明显优于OC组(P<0.01);LC组和OC组的手术并发症发生率分别为7.4%(4例)和26.8%(15例)(P<0.01)。结论:胆囊结石合并心脏病的老年人用LC治疗安全可行,具有显著的临床应用价值。

Objective：To evaluate the advantages and availability of the operation of laparoscopic cholecystectomy for elderly people with laparoscopic gallbladder and heart disease.Methods：112 patients with heart disease and laparoscopic gallbladder stones were randomly divided into LC group and OC group of 56 cases respectively;the clinical effect and the incidence of surgical complications of the two groups＇ patients are to be observed.Results：In LC group shows advantages.The blood loss of patients in operation,operation time,time of consuming food and hospital stay were significantly better than the OC group （P0.01）;LC group and OC group complication rate was 7.4% （4 cases） and 26.8% （15 cases） （P0.01）respectively.Conclusions：The availability of the operation of laparoscopic cholecystectomy for elderly people with laparoscopic gallbladder stones and heart disease has significant clinical value.