老年急性胆囊炎的临床治疗分析

Treatment of Acute Cholecystitis in the Elderly

目的探讨老年急性胆囊炎外科治疗的选择。方法方便选取并回顾分析该院2014年1月—2016年12月诊治的256例老年急性胆囊炎的临床治疗资料。将患者按照治疗方式分为手术组和非手术组,其中手术组119例,非手术组147例,比较不同治疗方式患者的病死率。结果早期手术115例,放弃治疗14例;非手术治疗病死率为16.33%,手术治疗病死率为0.84%,差异有统计学意义(P<0.05)。结论老年急性胆囊炎发病迅速,治疗难度大,手术时机以早期为佳,安全可行。

Objective This paper tries to explore the choice of surgical treatment of acute cholecystitis in the elderly.Methods The clinical data of 256 elderly patients with acute cholecystitis were convenient selected and analyzed retrospectively from January 2014 to December 2016. The patients were divided into the operation group and non-operation group according to the treatment methods, including 119 cases in the operation group and 147 cases in the non-operation group.The mortality rate of the patients was compared. Results 115 cases were treated by early operation and 14 cases gave up treatment. The mortality rate of non-operative treatment was 16.33% and the mortality rate was 0.84%. The difference was statistically significant（P〈0.05）. Conclusion The rapid onset of acute cholecystitis in elderly patients makes the treatment difficult, the earlier, the better, safe and feasible.