超声介入胆囊造瘘术治疗37例老年急性胆囊炎患者的疗效

Efficacy of Ultrasound Interventional Cholecystostomy in the Treatment of 37 Elderly Patients With Acute Cholecystitis

目的对老年急性胆囊炎患者采用超声介入胆囊造瘘术治疗的效果进行探究。方法选择2016年12月—2019年10月笔者所在医院收治的老年急性胆囊炎患者74例作为本次研究纳入的研究对象,按照随机数字表法将其划分为传统手术组(n=37)和超声介入组(n=37)。传统手术组通过传统胆囊造瘘术治疗,超声介入组通过超声介入胆囊造瘘术治疗,对比两组患者的手术效果。结果传统手术组与超声介入组在胆囊炎症控制时间方面比较,差异无统计学意义(P> 0.05);超声介入组住院时间短于传统手术组,并发症发生率明显低于传统手术组,差异均有统计学意义(P <0.05)。结论通过超声介入胆囊造瘘术治疗老年急性胆囊炎患者效果确切,可以有效加快患者的身体康复。

Objective To investigate the effect of ultrasound interventional cholecystostomy in elderly patients with acute cholecystitis.Methods From December 2016 to October 2019,74 elderly patients with acute cholecystitis admitted to the author's hospital were selected as the research objects included in this study,and they were divided into traditional surgery group(n=37)and ultrasound intervention group(n=37)according to the random number table method.The traditional operation group was treated by traditional cholecystostomy,and the ultrasound intervention group was treated by ultrasound interventional cholecystostomy.The surgical effects of the two groups were compared.Results There was no statistically significant difference in the control time of gallbladder inflammation between the traditional operation group and the ultrasound intervention group(P>0.05);the hospitalization time of the ultrasound intervention group was shorter than the traditional operation group,and the incidence of complications was significantly lower than that of the traditional operation group,the differences were statistically significant(P<0.05).Conclusion Ultrasound interventional cholecystostomy is effective in treating elderly patients with acute cholecystitis,which can effectively accelerate the physical rehabilitation of patients.