摘要
目的分析胆囊大部切除术在老年急性坏疽性胆囊炎治疗中的价值。方法选择2013年1月~2015年12月在我院行胆囊手术的老年急性坏疽性胆囊炎患者126例,按随机表法分为观察组和对照组,每组63例。对照组行常规方法胆囊切除术,观察组行胆囊大部切除术,观察比较两组患者术中出血量、手术时间、住院时间和并发症情况。结果观察组患者的手术时间、住院时间明显短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);两组患者的并发症比较,差异无统计学意义(P>0.05)。结论胆囊大部切除术在老年急性坏疽性胆囊炎治疗中的价值较高,可有效减少术中出血量,明显缩短手术时间,促进患者恢复。
Objective To analyze the value of subtotal cholecystectomy in elderly patients with acute gangrenouscholecystitis in the treatment. Methods 126 elderly patients with acute gangrenous cholecystitis patients wereselected from January 2013 to December 2015 in our hospital underwent gallbladder surgery patients, the patientswere randomly divided into study group and control group, 63 cases in each group. Patients in the control groupwere treated with routine cholecystectomy, and the patients in the study group underwent subtotal cholecystectomy.The amount of blood loss, operation time, hospital stay and complications of the two groups were recorded andcompared. R esults Compared with control group？ patients in the study group？ operation time？ shorter hospitalizationtime （P〈0. 05） ,the amount of bleeding was significantly less （P〈0. 05） ,no significant difference betweenthe number of cases of complications occurred in two groups （P〈0. 0 5 ）. Conclusion Subtotal cholecystectomyin the treatment of elderly acute gangrenous cholecystitis value is higher,which can effectively reduce the intraoperativeblood loss, significantly shorten the operation time,promote the patient recover as soon as possible.
出处
《蛇志》
2017年第3期325-326,共2页
Journal of Snake
关键词
胆囊大部切除术
老年
急性坏疽性胆囊炎
subtotal cholecystectomy
elderly
acute gangrenous cholecystitis
