93例老年性胆石症外科手术临床观察

Clinical Observation and Surgical Treatment of Cholelithiasis in the Elderly of 93 Patients

目的:探讨老年性胆石症的临床特点、手术时机、手术方式选择、围手术期处理及术后并发症防治。方法:对2008年9月至2011年5月在我科行手术治疗的93例老年性胆石症患者的临床资料进行回顾性分析。结果:93例老年胆石症患者均行手术治疗,术后治愈79例(84.9%),好转13例(14.0%),死亡1例(1.1%)。其中行胆囊切除术60例,胆囊切除加胆总管探查取石术14例,胆总管探查取石术5例,胆肠吻合术4例,胆囊造瘘术3例。结论:老年胆石症应根据病情正确选择手术时机和手术方式,并重视围手术期及术后处理,对于老年性胆石症患者,如果没有明显禁忌症,应积极行手术治疗。

Objective： To explore the clinical the time for surgical operation and, choices of modus lecting and analyzing all clinical data of 93 elderly manifestation, the measurement of preoperative period, operandi of cholelithiasis in the elderly. Method： Col- patients of cholelithiasis treated in our department from Sep. 2008 to May 2011. Result： Among all 93 patients, 79 were cured （84.9% } ,13 improved （ 14.0% } and 1 died （ 1.1% ）. 60 of 93 cases received choleeystectomy, 14 underwent eholecystectomy plus common bile duct exploration surgery, 5 received common bile duct exploration surgery, 4 biliary-enteric anastomosis and 3 were given gallbladder fistulation. Conclusion： Accurate assessment of surgical operation and choices of modus operandi of cholelithiasis in the elderly were needed and surgical treatment should be taken unless there existed serious contraindication.