摘要
目的探讨老年性急性结石性胆囊炎的临床特征及手术方式的选择。方法回顾性分析459例老年性急性结石性胆囊炎的临床特征及手术方式。结果老年性急性结石性胆囊炎患者胆囊移位的发生率高于普通急性结石性胆囊炎患者(P<0.005)。老年性急性结石性胆囊炎的腹膜炎反应低于普通急性结石性胆囊炎患者(P<0.005)。老年性急性结石性胆囊炎患者的合并症发生率高(P<0.05)。老年性急性结石性胆囊炎与普通急性结石性胆囊炎的手术方式选择存在差异(P<0.05),但去除胆囊移位因素的影响后两者间差异无显著性。结论老年性急性结石性胆囊炎患者的胆囊移位及合并症发生率高,手术方式以开腹胆囊切除术为宜,尤其是存在胆囊移位者。
To access the clinical characteristics of and operation methods for aged patients with Acute Calculous Cholecstitis(ACC). Retrospectively reviewing the clinical characteristics and relative operation methods in 459 patients with ACC. Significant difference was shown in the incidence of gallbladder displacement between the aged group(≥60 years)and the common group (<60 years) (P <0.005). The incidence of the response of peritonitis was higher in aged patients with ACC than the common patients with ACC (P <0.005), but there was no significant difference between them if the influence of the gallbladder displacement was excluded. The incidence of the compound diseases was higher in aged group than that in the common group (P <0.05). The optimum operation method would be significantly different between the aged group and the common group (P <0.05) only if the factor of gallbladder displacement was considered. [Conclusions] The higher incidence of gallbladder displacement and compound disease was the important characteristics of aged patients with ACC. Open-cholecystectomy is the optimum operation method for the aged patients with ACC, especially for those with gallbladder displacement.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第6期883-884,886,共3页
China Journal of Modern Medicine
关键词
老年人
胆石症
胆囊炎
胆囊切除术
aged patient
cholelithiasis
cholecystitis
gallbladder
displacement
