摘要
目的评价腹腔镜联合胆道镜治疗老年患者胆囊结石合并胆管结石的临床效果。方法回顾性分析郑州大学人民医院因胆石症行手术治疗的140例老年患者的临床资料,按手术方式不同随机分为A组(腹腔镜手术)和B组(开腹手术)。比较2组患者手术效果。结果 A组在出血量、术后住院时间、进食时间、住院费用,及术后腹痛、肺部感染、切口感染发生率方面明显优于B组(P<0.05);A组手术时间比B组短(P<0.05)。结论腹腔镜联合胆道镜是治疗老年患者胆囊结石合并胆管结石的有效手术方式,值得推广。
Objective To evaluate the clinical effect of laparoscope combined with choledochoscope for gallstones and bile duct stones in elderly patients. Methods The clinical data of 140 patients with cholelith disease who had received surgery were retrospectively analyzed in our hospital, According to different surgical methods the patients were randomly divided into A group （ laparoscopic surgery） and B group （ open surgery）. Postoperative effects of 2 groups were compared. Results A group＇ s blood loss, postoperative hospital stay, time of food intake, hospitalization expenses, and the rate of postoperative abdominal pain, pulmonary infection, incision infection were better than B group （ P 〈 0.05 ） ; The operation time of B group was shorter than A group （ P 〈 0.05 ）. Conclusion Laparoscopy combined with choledochoscope is a effiective way to treat gallstones and bile duct stones of elderly patients, it is worth putting promotion.
出处
《医药论坛杂志》
2017年第2期20-21,共2页
Journal of Medical Forum
关键词
腹腔镜
胆道镜
老年患者
胆囊结石
胆管结石
Laparoscopy
Choledochoscope
Elderly patients
Gallstones
Bile duct stones
作者简介
通讯作者：李德宇；E-mail：lidy0408@sohu．com
