经皮经肝胆囊穿刺序贯腔镜胆囊切除治疗急性重症胆囊炎老年患者的疗效观察

Clinical observation of percutaneous transhepatic gallbladder puncture and sequential endoscopic cholecystectomy in the treatment of elderly patients with acute severe cholecystitis

目的:观察与探究经皮经肝胆囊穿刺序贯腔镜胆囊切除治疗急性重症胆囊炎老年患者的疗效。方法:收治急性重症胆囊炎老年患者64例,随机平分两组。对照组给予腹腔镜胆囊切除治疗,观察组给予经皮经肝胆囊穿刺序贯腔镜胆囊切除治疗,对比并分析两组患者的效果。结果:观察组的治疗总有效率(93.75%)与对照组(71.88%)相比,差异有统计学意义(P<0.05);观察组的腹腔感染、气胸、肠穿孔、胸腔积液等术后并发症总发生率(12.50%)与对照组(34.38%)相对比,差异有统计学意义(P<0.05)。结论:对急性重症胆囊炎老年患者实施经皮经肝胆囊穿刺序贯腔镜胆囊切除治疗的效果较好。

Objective:To observe and investigate the effect of percutaneous transhepatic gallbladder puncture and sequential endoscopic cholecystectomy in the treatment of elderly patients with acute severe cholecystitis.Methods:64 elderly patients with acute severe cholecystitis were selected.They were randomly divided into the two groups on average.Patients in the control group were treated with laparoscopic cholecystectomy,while patients in the observation group were treated with percutaneous transhepatic gallbladder puncture and sequential endoscopic cholecystectomy.The effects of the two groups were compared and analyzed.Results:The total effective rate of the observation group(93.75%)was significantly higher than that of the control group(71.88%)(P<0.05).The total incidence of postoperative complications such as abdominal infection,pneumothorax,intestinal perforation,pleural effusion and pleural effusion in the observation group(34.38%)was significantly higher than that of the control group(12.50%),and the difference was statistically significant(P<0.05).Conclusion:The effect of percutaneous transhepatic gallbladder puncture and sequential laparoscopic cholecystectomy in elderly patients with acute severe cholecystitis is better.