用腹腔镜手术对高龄胆结石患者进行治疗的效果研讨

Discussion on the effect of laparoscopic surgery in the treatment of senile gallstones

目的:分析对高龄胆结石患者采用腹腔镜手术进行治疗的临床效果。方法:选择在某院进行手术治疗的82例高龄胆结石患者作为研究对象。按照随机分组法将其分为参考组和治疗组(41例/组)。为参考组患者采用开腹手术进行治疗,为治疗组患者采用腹腔镜手术进行治疗。然后对比两组患者的各项手术指标。结果:治疗组患者手术切口的长度、手术的时间、术毕至排气的时间、术毕至下床活动的时间、术后住院的时间均短于参考组患者,其术中的出血量少于参考组患者,其术后并发症的发生率低于参考组患者,P <0.05。结论:对高龄胆结石患者采用腹腔镜手术进行治疗具有切口小、术中的出血量少、术后并发症的发生率低、术后恢复快等优点。

objective:to analyze the clinical effect of laparoscopic surgery on elderly patients with gallstones.Methods:82 elderly patients with gallstones who underwent surgical treatment in a hospital were selected as research objects.They were divided into reference group and treatment group(41 cases/group)according to the randomized method.Patients in the reference group were treated with laparotomy,while patients in the treatment group were treated with laparoscopic surgery.Then the surgical indexes of the two groups were compared.Results:the length of surgical incision,the time of operation,the time from operation to exhaust,the time from operation to getting out of bed and the time of postoperative hospitalization in the treatment group were all shorter than those in the reference group,the amount of intraoperative blood loss was less than that in the reference group,and the incidence of postoperative complications was lower than that in the reference group(P<0.05).Conclusion:laparoscopic surgery has the advantages of small incision,less intraoperative blood loss,low incidence of postoperative complications and rapid postoperative recovery.