摘要
[目的]分析比较老年急性胆囊炎用腹腔镜和开腹手术治疗的疗效。[方法]回顾性分析60例老年急性胆囊炎用腹腔镜技术治疗的临床资料,并与同期60例老年急性胆囊炎开腹手术进行比较。[结果]腹腔镜组与开腹组比较差异有统计学意义(P﹤0.01),老年急性胆囊炎患者用腹腔镜技术完成手术,手术时间短(45.3±11.8)min,术中出血量少(13.4±11.1)ml,术后(9.2±4.5)h可以下床活动,住院时间短为(4.4±1.5)d。[结论]腹腔镜用于老年急性胆囊炎胆囊切除术具有操作简单、安全、切口小、痛苦小、出血量少,手术、住院时间短的特点,是治疗老年急性胆囊炎的最佳方式。
[Objective] To compare the treatment efficacy of laparoscopy with open abdominal surgery for elderly patients with acute clolecystitis. [Methods] Clinical data of 60 cases of elderly patients with acute cholecystitis by laparoscopy （laparoscopic group） was retrospectively analyzed, based on the comparison of contemporaneous clinical data with the 60 cases of open abdominal surgery （open group）. [Results] There were significant differences between laparoscopic group and open abdominal surgery group （P 〈 0.01 ）. Elderly patients with acute cholecystitis by laparoscopy had shorter operative time （45.3±11.8） rain, less bleeding during operation （13.4±11.1 ） ml, shorter hospital stay （9.2±4.5） d, earlier off-bed activity at （4.4±1.5） d pest surgery. [ Conclusion] Elderly patients with acute cholecystitis by laparoscopy have some advantages that it is easy, safe, small incision, little bleeding, short operation and hospitalization time, being the best way of treatment for elderly patients with acute cholecystitis.
出处
《现代预防医学》
CAS
北大核心
2009年第13期2569-2570,共2页
Modern Preventive Medicine
关键词
腹腔镜术
开腹手术
老年急性胆囊炎
Laparoscopy
Open abdominal surgery
Elderly patients with acute cholecystitis
作者简介
陈尖（1970-）．女．主管护师
通讯作者：刘秀华，E-mail：xiuhua2828@sina．com
