摘要
目的比较经皮经肝胆囊穿刺引流术后续贯行腹腔镜下胆囊切除术(PTGD+LC)和急诊腹腔镜下胆囊切除术(LC)治疗>65岁老年性Grade I级急性胆囊炎(AC)的疗效。方法收集2016年6月至2019年6月经PTGD+LC和急诊LC治疗符合TG13诊断标准的Grade I级AC(年龄>65岁)96例患者的临床资料,其中PTGD+LC组37例,急诊LC组59例。结果PTGD+LC组与急诊LC组比较:手术时间短(56±12min vs 88±16min,P<0.05),术中出血量少(52.6±23.3ml vs 73.5±25.6ml,P<0.05),术后肛门排气时间早(23.5±5.7h vs 26.5±5.9h,P<0.05)、术后住院时间短(4.3±1.5dvs 6.6±1.7d,P<0.05)、术后并发症少(4例vs 17例,P<0.05)。结论>65岁老年性Grnade I级AC患者PTGD术后续贯行LC,不仅患者缩短术后住院时间,还能降低手术相关并发症的发生,提高患者的生活质量。
Objective To compare the efiacy of percutaneous transhepatic cholecystectomy(PTGD+LC)and emergency laparoscopic cholecystectomy(LC)in the treatment of gradeⅡacute cholcystitis(AC)in the aged over 65.Methods A retrospective case sudy of patients with GradeⅡAC(age>65 years)who met TG13 diagnostic citeria was conducted from June 2016 to June 2019,including 37 cases in PTGD+LC group and 59 cases in emergency LC group.Results Comparison of PTGD+LC group with emergency LC group:shorter operation time(56±12min vs 88±16min,P=0.000<0.05),less intraoperative bleeding(52.6±23.3ml vs 73.5±25.6ml,P=0.000<0.05),earlyer postoperative anal exhaust time(23.5±5.7h vs 26.5±5.9h,P=0.016<0.05),shorter postoperative hospitalization time(4.3±1.5d vs 6.6±1.7d,P=0.000<0.05),fewer cases of postoperative complications(4vs 17,P=0.038<0.05).Conclusion The follow-up of PTGD in patients over 65 years with GradeⅡAC annot only shorten the postoperative hospialization time,but also reduce the ocurrence of surgial complcations and improve the quality of life of patiens.
出处
《浙江临床医学》
2020年第11期1639-1641,共3页
Zhejiang Clinical Medical Journal
