腹腔镜手术治疗高龄胆结石的疗效分析

Analysis of Curative Effect of Laparoscopic Surgery on Senile Cholelithiasis

目的探讨腹腔镜手术治疗高龄胆结石的临床疗效。方法选取2015年3月—2016年3月在该院诊治的96例高龄胆结石患者,将其依据随机方式分为对照组和观察组,各组为48例,对照组行传统开腹手术,观察组行腹腔镜手术,就两组患者术后并发症发生情况、住院时间、术后肛门排气时间、术中出血量及手术时间予以比较。结果观察组手术时间、肛门排气时间及手术时间相比于对照组,均短于后者且差异有统计学意义(P<0.05),观察组术中出血量相比于对照组,少于后者且差异有统计学意义(P<0.05),观察组并发症发生率(4.17%)相比于对照组(12.50%),低于后者且差异有统计学意义(P<0.05)。结论针对高龄胆结石,对其采用腹腔镜手术治疗,疗效显著,安全性高,创伤小,临床应用价值高。

Objective This paper tries to investigate the clinical effect of laparoscopic surgery in the treatment of cholelithiasis in elderly patients. Methods 96 cases of elderly patients with cholelithiasis from March 2015 to March 2016 in this hospital were selected and randomly divided into the control group and the observation group, with 48 cases in each group. The control group underwent conventional open surgery; the observation group underwent laparoscopic surgery, and then the postoperative complications, hospitalization time, postoperative anus exhaust time, bleeding vol-ume and operation time of the two groups were compared. Results The operation time and the exhaust time in the ob-servation group were shorter than that in the control group and the difference was significant （P〈0.05）, intraoperative bleeding of the observation group was less than the control group, and the difference was significant （P〈0.05）, the complication rate of the observation group was 4.17%, lower than that of the control group of 12.50%, and the difference was significant （P〈0.05）. Conclusion Laparoscopic surgery for senile cholelithiasis is effective, safe, with small trauma and high clinical value.