摘要
目的比较老年胆囊疾病患者腹腔镜胆囊切除术(LC)与开腹胆囊切除术(OC)的手术效果,分析LC的临床优点和探讨老年胆囊疾病适宜的手术方法。方法 92例老年胆囊疾病患者据手术方式分为LC组(n=46)和OC组(n=46)。比较两组患者手术时间、手术出血量、术后通气时间、下床时间、术后镇痛泵使用情况、伤口感染、住院天数以及手术成功率。结果两组手术成功率相似,无统计学意义(P>0.05)。但其他观察指标LC组明显优于OC组(P<0.01)。结论 LC具有创伤小、手术时间短、出血量少、痛苦轻、术后恢复快、伤口感染率低等优势。但老年患者的手术治疗应遵循个体化原则,是行OC还是LC要视患者的总体情况而定。
Objective To compare the surgic results of laparoscopic cholecystectomy （LC） and open cholecystectomy （OC） on elderly patients with gallbladder disease. Analyse the clinical advantages of LC and explore the senile gallbladder diseaseand try to find appropriate surgical method. Methods According to surgical method,92 cases of elderly patients with gallbladder disease were divided into LC group （n = 46） and the OC group （n = 46）. Operative time, operative blood loss, postoperative ventilation time, bed time, postoperative analgesia pump use, wound infection, hospital days and surgical success rate were compared. Results Success rate was similar in two groups and no statistical significance （P〉0.05）.However, other observed indicators of LC group was significantly better than OC group （P〈0.01）. Conclusion LC was with less trauma, shorter operative time, less bleeding, pain and light rapid postoperative recovery, low wound infection rates. However, surgical treatment of elderly patients should follow the principle of individuation.Selection of i a OC or LC depends on patient’s overall situation.
出处
《中国实用医药》
2010年第15期11-12,共2页
China Practical Medicine
关键词
老年患者
胆囊切除术
腹腔镜
开腹手术
Elderly patients
Cholecystectomy
Laparoscopic
laparotomy
