腹腔镜和开腹切除术老龄急性胆囊炎的疗效观察

目的探讨老龄急性胆囊炎腹腔镜和开腹切除术的2组对比疗效观察。方法选取2008年1月至2011年4月在我院普外科行手术治疗的100例老龄(年龄≥60岁)急性胆囊炎患者的临床资料,分别为2组,腹腔镜和开腹组,每组50例。比较2组患者手术时间、术中出血量、术后进食时间、肠道功能恢复时间、住院时间及并发症情况。结果腹腔镜组手术时间、术后胃肠功能恢复时间、住院时间、下床活动时间均低于开腹组(t=2.782,t=2.845,t=2.81l,t=2.914,P<0.05);开腹组术后并发症20.0%,高于腹腔镜组8.0%(χ2=3.794,P<0.05)。结论腹腔镜胆囊切除术治疗急性胆囊炎可有效改善胃肠功能,减少CRP的动态变化,值得临床应用。

Objective To explore the two groups of contrast curative effects between the older patients with acute cholecystitis laparoscopic resection and laparocholecystectomy.Methods Select in January 2008 to April 2011 at our hospital general surgery go to surgery of 100 cases of the old patient（age≥60years） with acute cholecystitis clinical data.Respectively two groups,laparoscopic and open groups,each group of 50 cases.Compare two sets of patients operation time,peri-operative bleeding and postoperative the meal time,bowel function recovery time,length of hospital stay,and complications.Results Operating time,postoperative laparoscopic gastrointestinal function recovery time,length of hospital stay,activities under the bed time were lower than open group（t=2.782,t=2.845,t=2.81 l,t=2.914,P0.05）;Open group the postoperative complications 20.0%,higher than 8.0% laparoscopic group（c2=3.794,P0.05）.Conclusion The treatment of acute cholecystitis laparoscopic cholecystectomy can effectively improve gastrointestinal function,reduce the dynamic changes of the CRP levels,and clinical application.[