手术治疗老年胆结石胆囊炎的临床观察

Clinical Observation of Operation in the Treatment of Gallstone Cholecystitis in Elderly Patients

目的探讨手术治疗老年胆结石胆囊炎的临床效果。方法选取本院2011年12月至2013年12月诊治的老年胆结石胆囊炎患者60例,采用数字随机法分为两组,每组各30例。对照组患者采用开腹手术治疗,观察组患者采用腹腔镜手术治疗。比较两组患者手术相关指标、治疗效果、术后并发症情况。结果观察组患者切口长度、手术时间、术中出血量、术后住院时间均明显小于对照组;观察组患者总有效率(96.7%)明显高于对照组(80.0%),观察组患者并发症发生率(3.3%)明显低于对照组(23.3%),差异均有统计学意义(P<0.05)。结论开腹手术与腹腔镜手术均是治疗老年胆结石胆囊炎的有效方法,其中腹腔镜手术的治疗效果更好,对患者创伤小,可明显缩短患者的治疗时间和恢复时间,术后并发症少且安全性高,值得临床推广。

Objective To investigate the clinical effect of operation in treating elderly gallstone cholecystitis. Methods 60 cases of elderly patients with gallstone cholecystitis treated in our hospital from December 2011 to December 2013 were selected and randomly divided into observation group and control group, with 30 cases in each group. The control group received open operation for treating, the observation group was given laparoscopic operation for treating. The operation related indexes, the therapeutic effect and the postoperative complications were compared. Results The length of incision, the operation time, the intraoperative bleeding volume, the postoperative hospitalization time of the observation group were significantly less than those of the control group;the total effective rate of the observation group （96.7%） was significantly higher than that of the control group （80%）;the complication rate of the observation group （3.3%） was significantly lower than that of the control group （23.3%）, all of them had statistically significant difference （P 〈0.05）. Conclusions Open operation and laparoscopic operation are effective methods in treating elderly patients with gallstone cholecystitis. Laparoscopic operation has better treatment effect and can significantly shorten the treatment time and recovery time, enjoy small trauma, fewer postoperative complications and higher safety, which is worthy of promotion.