老年患者经腹腔镜胆囊切除术与开腹胆囊切除术的治疗体会

The treatment experience and comparison of elderly patients with laparoscopic cholecystectomy and open cholecystectomy

目的:对老年患者经腹腔镜胆囊切除术与开腹胆囊切除术的治疗效果进行调查,总结体会。方法:收治胆囊疾病患者74例,平分为两组。观察组采用腹腔镜胆囊切除术治疗,对照组采用开腹胆囊切除术进行治疗,比较两组患者手术客观指标、并发症发生率。结果:观察组手术时间明显长于对照组,但术中出血量比对照组少,在术后通气时间、住院时间方面明显短于对照组;观察组并发症发生率2.7%,低于对照组的13.5%;差异均存在统计学意义(P<0.05)。结论:腹腔镜胆囊切除术在老年胆囊疾病患者中的治疗安全性更高。

Objective:To investigate the treatment effect of laparoscopic cholecystectomy and open cholecystectomy in elderlypatients and summarize the experience.Methods:74 cases of patients with gallbladder disease were selected.They were dividedinto the two groups on average.Patients in the observation group were treated with laparoscopic cholecystectomy,while patients inthe control group were treated by open cholecystectomy.The incidence rate of complications and operative objective index of twogroups were compared.Results:The operation time of observation group was significantly longer than the control group,but theamount of bleeding was significantly less than the control group,and the postoperative ventilation time and hospitalization timewere significantly shorter than the control group;the complication rate of the observation group was 2.7% which was lower thanthat of the control group of 13.5% ;the differences were statistically significant(P<0.05).Conclusion:The laparoscopiccholecystectomy used in the treatment of elderly patients with gallbladder disease has higher safety.