摘要
目的：分析应用腹腔镜胆囊切除术治疗老年急性胆囊炎患者的临床疗效。方法选取急性胆囊炎老年患者68例，根据手术方式不同分为传统开腹手术（ OC组）33例，腹腔镜胆囊切除术（ LC组）35例，观察两组患者的手术时间、术后肠蠕动恢复时间及术后住院时间。结果 LC组的手术时间（43．7±5．8） min、术后肠蠕动恢复时间（36．4±3．9） h、术后住院时间（4．8±1．4） d均明显短于OC组的（68．6±7．3） min、（65．2±4．5）h、（8．3±2．9）d（t＝3．317、3．862、3．029，均P＜0．05）；LC组术后并发症发生率为14．29％，低于OC组的24．24％，但差异无统计学意义（P＞0．05）。结论腹腔镜胆囊切除术治疗老年人急性胆囊炎，可明显缩短手术时间，促进术后胃肠道功能恢复，减少术后住院时间，且术后并发症发生率低。
Objective To investigate the clinical effect of early laparoscopic cholecystectomy in the treat -ment of elderly patients with acute cholecystitis .Methods 68 elderly patients with early acute cholecystitis were di-vided into the two groups according to the surgical procedures .33 cases in OC group were given traditional open sur-gery,while 35 cases in LC group received early laparoscopic cholecystectomy .The operative time,postoperative bowel recovery time and postoperative hospital stay time were compared between the two groups .Results The operative time,postoperative bowel recovery time ,postoperative hospital stay time in LC group were （43.7 ±5.8）min,（36.4 ± 3.9）h,（4.8 ±1.4）d,which were significantly shorter than （68.6 ±7.3）min,（65.2 ±4.5）h,（8.3 ±2.9）d in the OC group（t=3.317,3.862,3.029,all P〈0.05）.The incidence rate of postoperative complication of LC group was 14.29%,which of the OC group was 24.24%,the difference was not significant（P〉0.05）.Conclusion Early lap-aroscopic cholecystectomy in the treatment of elderly patients with acute cholecystitis can significantly shorten the operation time, promote postoperative recovery of gastrointestinal function and reduce postoperative hospital stay , reduce the burden of patients ,improve the quality of life and the incidence rate of complications is low .
出处
《中国基层医药》
CAS
2014年第19期2951-2952,共2页
Chinese Journal of Primary Medicine and Pharmacy
