老年急性胆囊炎的临床资料分析

Analysis of the aged patients with acute cholecystitis

目的探讨老年急性胆囊炎的临床特征,为老年急性胆囊炎的临床治疗提供理论依据。方法回顾性统计我院2006年1月—2009年12月收治的678例急性胆囊炎(包括427例老年急性胆囊炎患者)的临床资料,统计分析其治疗方式及病理特征。结果①中青年组患者与老年组患者的不同治疗方式比例比较,有显著性差异(P<0.05);②中青年组患者与老年组患者的不同病理分型比例比较,有显著性差异(P<0.05)。结论老年急性胆囊炎患者病情严重,更需注意选择治疗方式及手术时机。

Objective To explore the clinic character of the aged patients suffered from acute cholecystitis,and to provide a theoretical basis for clinical treatment.Methods 678 cases of acute cholecystitis were admitted from January 2006 to December 2 009 in our hospital.（including 427 patients with acute cholecystitis in elderly patients） clinical data,statistical analysis of treatment modalities,and pathological features.Results ①there is significant difference of the therapy methods between the group of young-middle age and the elderly patients（P0.05）;②there is significant difference of the type of pathology between the group of young-middle age and the elderly patients（P0.05）.Conclusion Elderly patients with more severe acute cholecystitis,treatment should be more attention to the selection and the opportunity of the operation.