197例老年胆结石患者的治疗效果观察

Observation on the Curative Effects of 197 Elderly Patients with Gallstones

目的探讨老年胆结石患者外科治疗的临床疗效.方法选取北京市第二医院老年胆石症患者197例,按照随机数字表法随机分为观察组(98例)和对照组(99例).对照组手术患者根据结石的部位及疾病程度采取适合的手术方式,观察组采用腹腔镜胆囊切除术.结果观察组与对照组结石清除率无显著性差异,P>0.05;观察组术后复发率显著低于对照组,P<0.05;观察组患者手术出血量、住院时间、并发症均显著少于对照组,P<0.05;2组患者手术时间无显著性差异,P>0.05.结论腹腔镜胆囊切除术治疗老年胆结石症,具有结石清除率高、术后复发率低、手术时间及住院时间短、并发症少等特点,值得临床推广.

Objective To explore the clinical curative effect of surgical treatment for elderly patients with cholelithiasis.Methods We selected 197 elderly patients wiytnbcholelithiasis our hospital,and divided them into observer group（98） and the control group（99） according to the method of random number tables.Appropriate surgical ways were selected in patients in the control group,according to the site of stones and the severity of disease,patients in the observation group were treated with laparoscopic cholecystectomy.Results There was no significant difference in the stone clearance between observation group and control group（P 0.05）.The postoperative recurrence rate in observation group was significantly lower than control group（P 0.05）.The bleeding volume,hospital stay and the incidence of complications in observation group were lower than the control group（P 0.05）.There was no significant difference in operation time between two groups（P 0.05）. Conclusion Laparoscopic cholecystectomy in treatment of elderly patients with cholelithiasis has such advantages as high stone clearance rate,low recurrence rate,shorter operation time and hospitalization time,fewer complications,so it deserves generalization in clinic.