腹腔镜胆囊切除术治疗老年急性坏疽性胆囊炎临床效果观察

Clinical effect of treatment of elderly patients with acute gangrenous cholecystitis by laparoscopic cholecystectomy

目的观察腹腔镜胆囊切除术(LC)治疗老年急性坏疽性胆囊炎的临床效果及并发症发生情况。方法选择医院2013年1月-2014年10月行LC治疗的老年急性坏疽性胆囊炎患者47例作为观察组,同时选择同时期选择传统开腹手术治疗的老年患者34例作为对照组。比较2组患者手术时间、术中出血量、引流管拔除时间、住院天数及术后并发症的发生情况。结果观察组均顺利完成LC,观察组手术时间、术中出血量、引流管拔除时间、住院天数均少于对照组差异有统计学意义(P<0.05)。观察组并发症发生率为8.5%低于对照组的23.5%,差异均有统计学意义(P<0.05)。结论 LC治疗老年急性坏疽性胆囊炎效果满意,安全性高,并发症少,是治疗老年急性坏疽性胆囊炎的有效方法,值得临床推广。

Objective To observe the clinical effect of treatment of elderly patients with acute gangrenous cholecysti- tis by laparoscopic eholecystectomy. Methods 47 cases of elderly patients with acute gangrenous cholecystitis were chosen as the observation group,34 cases of elderly patients with acute gangrenous cholecystitis as control group,treated with traditional operation. The operation time, intraoperative bleeding volume, drainage tube removal time, hospitalization time and postoperative complications were compared between the 2 groups. Results The operation time,intraoperative bleeding volume, drainage tube removal time and hospitalization time of observation group were less than control group, the difference was statistically signifi- cant （P 〈 0.05 ）. The complication rate of observation group was 8.5%, lower than that of the control group （23.5%）, the difference was statistically significant （ P 〈 0.05 ）. Conclusion Laparoscopic cholecystectomy in treatment of senile patients with acute gangrenous cholecystitis is satisfied, high safety ,less complications,it is worth of clinical application.