摘要
目的分析老年胆石症外科治疗的临床特点为临床诊疗提供参考。方法入选203例老年胆结石患者,随机分为胆囊切除术组(n=101)和综合手术组(n=102)。胆囊切除组行胆囊切除术,综合治疗组行胆囊切除术合并胆总管探查取石术。治疗后分别对两组的临床特点与效果进行分析。结果两组患者在手术时间方面差异具有统计学意义,综合手术组手术时间长于胆囊切除术组(P<0.05);但在手术出血量和住院时间方面,两组相比差异无统计学意义(P>0.05)。综合手术组结石清除率高于胆囊切除术组,术后复发率低于胆囊切除术,两组相比差异具有统计学意义(P<0.05)。两组在术后并发症方面差异无统计学意义(P>0.05)。结论胆囊切除术合并胆总管探查取石术结石清除率高、术后复发率低,是治疗老年胆石症较好的外科方法之一。
Objective To analyze the clinical characteristics of cholelithiasis in elderly patients and to provide references in clinics.Methods Totally 203 elderly patients with cholelithiasis were randomly divided into cholecystectomy group（n=101） and comprehensive treatment group（n=102）.Cholecystectomy was applied in cholecystectomy group while cholecystectomy combined with common bile duct lithotomy was used in comprehensive treatment group.The clinical data of the two groups after the treatment were compared.Results There were statistical differences in operation time between the two group,more operartion time was required in cholecystectomy group compared with that in comprehensive treatment group（P0.05）.However,these was no significant difference in the blood loss and hospital duration between the two groups（P0.05）.Higher stone clearance rate and lower recurrence rate were observed in comprehensive treatment group compared with those in cholecystectomy group（P0.05）.These was no significant difference in complication rate between the two groups（P0.05）.Conclusion With higher stone clearance rate and lower recurrence rate,cholecystectomy combined with common bile duct lithotomy is an optimal treatment method for cholelithiasis in elderly patients.
出处
《局解手术学杂志》
2011年第5期543-544,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
老年胆结石
外科治疗
临床分析
cholelithiasis in elderly patients
surgical treatment
clinical analysis
