手术治疗老年急性胆囊炎胆囊穿孔的临床观察及体会

Clinical Observation and Experience of Surgical Treatment of Senile Acute Cholecystitis With Gallbladder Perforation

目的分析手术治疗老年急性胆囊炎、胆囊穿孔的临床疗效。方法采取方便抽样法抽取60例于2014年3月-2016年9月来我院治疗的老年急性胆囊炎、胆囊穿孔患者,以随机数字表法分为A组和B组,每组30例。A组患者采取腹腔镜下手术方式,B组患者采取开腹手术方式进行治疗。结果手术时间,A组患者和B组相当P>0.05;术中出血量、术后并发症发生情况、住院时间、疼痛程度、治疗满意度等指标,A组患者优于B组,P<0.05。结论开腹手术和腹腔镜手术治疗老年急性胆囊炎、胆囊穿孔均可取得一定的治疗效果,但腹腔镜手术治疗能够取得更加显著的疗效,因此,对于符合腹腔镜手术治疗指征的患者,首先考虑采取腹腔镜手术治疗,以此来提高患者的疗效。

Objective To analyze the clinical efficacy of surgical treatment of acute gallbladder perforation in elderly patients. Methods 60 cases of elderly patients with acute gallbladder perforation who were treated in our hospital from March 2014 to September 2016 were selected by convenient sampling method. The patients were divided into A group and B group by random number table（n=30）. Patients in group A underwent laparoscopic operation, B group patients were treated with open surgery. ResultsThe operative time, patients in the observation group and the control group, P〉0.05, the amount of intraoperative bleeding, postoperative complications, hospitalization time, pain degree, treatment satisfaction, patients in the observation group was significantly better than the control group, P〈0.05. ConclusionOpen surgery and laparoscopic surgery in the treatment of elderly patients with acute perforation of gallbladder can obtain certain curative effect, but laparoscopic surgery can achieve curative effect, significantly more for laparoscopic surgery in the treatment of patients with indication, first consider laparoscopic surgery, so as to improve the curative effect of the patients.