老年胆道疾病140例外科治疗分析

Analysis of Surgical Treatment of Cholepathia in Old Patients:A Report of 140 Cases

目的探讨老年(70岁以上)胆道疾病的外科治疗措施。方法回顾性分析我院10年来手术治疗老年胆道疾病140例的经验,择期手术104例(74.3%),急诊手术36例(25.7%)。结果治愈133例(95%),未愈出院5例(3.6%),死亡2例(1.4%),术后出现并发症35例(25%)。结论高龄不是胆道手术的禁忌证,择期手术应全面细致的体检,积极治疗合并病,选择好合适的手术时机。急诊手术采用简单实用有效的术式为原则,尽可能缩短手术时间,减少创伤打击。术后全面监测生命体征变化,预防并发症发生。

Objective To discuss surgical treatment of cholepathia in patients aged over seventy. Methods To retrospectively analyze the experience in the operative treatment of senile cholepathia for ten years in our hospital. 104 cases underwent elective operation （74.3%）,and 36 cases underwent emergency operation （25.7%）. Results 133 cases were cured （95%）,5 cases were not cured and left hospital （3.6%）,2 cases died （1.4%）,35 cases developed postoperative complication （25%）. Conclusion Senility is not taboo of the operation on cholepathia,overall physical examination,active treatment of medical diseases combined. And selecting proper time for operation are required for elective operation. Selecting brief,practical and effecient operation method,shortening the time of operation, and reducing the hurt from wounds are essential for emergency operation on principle. Overall inspection of the change of vital sign should be taken after operation and prevent the complications.