腹腔镜微创手术在老年急性坏疽性胆囊炎患者中的应用分析

Application analysis of laparoscopic minimally invasive surgery in treating senile patients with acute gangrenous cholecystitis

目的:分析腹腔镜微创手术在老年急性坏疽性胆囊炎患者中的应用。方法:本研究特将符合入院标准的164例老年急性坏疽性胆囊炎患者按照纳入研究顺序平均分为治疗组和对照组,治疗组采用腹腔镜微创手术治疗,对照组采用传统开腹胆囊切除术治疗,比较治疗效果,相关手术指标及并发症。结果:术后治疗组总有效率(98.78%)和对照组(87.80%)比较存在显著差异(P<0.05);治疗组各项相关手术指标均明显优于对照组(P<0.05);治疗组并发症发生率(4.88%)和对照组(12.20%)比较存在显著差异(P<0.05)。结论:采用腹腔镜微创手术治疗老年急性坏疽性胆囊炎效果显著,手术时间短,术中出血量低,术后并发症少,在临床治疗中具有重要意义。

Objective: To analyze the application of laparoscopic minimally invasive surgery in treating senile patients with acute gangrenous cholecystitis. Methods: 164 senile patients with acute gangrenous cholecystitis who conform to the admission standard were evenly divided into the treatment group and the control group according to the admission order. The treatment group received laparoscopic minimally invasive surgery while the control group received conventional open cholecystectomy treatment, the therapeutic effect, related surgical parameters and complications were compared. Results: The total effective rate of the treatment group was 98.78%, which was significantly higher than that of the control group, 87.80%, the difference was of statistical significance (P<0.05). Conclusion:Laparoscopic minimally invasive surgery had significant effect in treating senile patients with acute gangrenous cholecystitis, the operative time was shorter, intraoperative blood loss was less and the postoperative complications were less, it had great significance in the clinical treatment.