腹腔镜胆囊切除术治疗老年急性胆囊炎的效果及对患者术后肠道功能恢复及并发症的影响

Effect of laparoscopic cholecystectomy on elderly patients with acute cholecystitis and its effect on postoperative intestinal function recovery and complications

目的分析腹腔镜胆囊切除术治疗老年急性胆囊炎的效果及对患者术后肠道功能恢复及并发症的影响。方法选取2010年8月至2019年8月于广州市白云区妇幼保健院就诊的老年急性胆囊炎患者80例,根据随机数字表法分为两组,每组40例。对照组采用开腹胆囊切除术,观察组采用腹腔镜胆囊切除术,比较两组患者围术期、肠道功能恢复、并发症情况和生活质量。结果观察组并发症发生率(5. 00%,2/40)低于对照组(15. 00%,6/40),差异有统计学意义(P <0. 05);观察组围术期情况、肠道功能恢复时间和生活质量评分量表评分均优于对照组(P <0. 05)。结论与开腹胆囊切除术比较,腹腔镜胆囊切除术在老年急性胆囊炎治疗中的效果更好,能促进肠道功能恢复,减少并发症的发生。

Objective To analyze the effect of laparoscopic cholecystectomy on elderly patients with acute cholecystitis and the effect on postoperative intestinal function recovery and complications.Methods Eighty cases of elderly patients with acute cholecystitis who were treated in Maternal and Child Health Hospital of Baiyun District from August 2010 to August 2019 were selected and divided into two groups according to the random number table method,with 40 cases in each group. The control group used open cholecystectomy, and the observation group used laparoscopic cholecystectomy. The perioperative period,intestinal function recovery,complications,and quality of life were compared between the two groups. Results The incidence of complications in the observation group( 5. 00%,2/40) was lower than that in the control group( 15. 00%,6/40,P < 0. 05). The perioperative situation,intestinal function recovery time,and SF-36 score in the observation group were better than those in the control group( P < 0. 05). Conclusions laparoscopic cholecystectomy is more effective on elderly patients with acute cholecystitis,which can promote the intestinal function recovery and reduce the occurrence of complications.