摘要
目的比较不同手术方式对老年患者胆囊结石合并胆总管结石疗效区别。方法随机选取采用腹腔镜联合胆道镜切开取石术及传统开腹手术老年病例各240例,分别编入治疗组及对照组,对比两组患者手术时间、术中出血量、住院时间及并发症发生率四个指标。结果治疗组在手术时间、术中出血量、住院时间及并发症四个指标上均优于对照组(P<0.05)。结论腹腔镜联合胆道镜切开取石术具有创伤小,恢复快,结石清除彻底,并发症发生率低等优点,是治疗老年患者胆囊结石合并胆总管结石较优方法。
Objective To compare the effect of different surgery ways on the treatment of both cholecystolithiasis and choledocholithiasis to elderly patients.Methods 240 cases of elderly patients were treated by laparoscopy and choledochofiberscopy and 240 cases of elderly patients were treated by conventional open surgery,and they were divided into treatment group and control group.The duration of operation,the intraoperative blood loss,the length of stay and the complication rate of two groups were compared.Results The duration of operation,the intraoperative blood loss,the length of stay and the complication rate of treatment group were significant lower than control group（P0.05）.Conclusion Laparoscopy and choledochofiberscopy has the advantage of small wound,quick recovery,clear thoroughly and low complication rate.It is the better way of treating cholecystolithiasis and choledocholithiasis to elderly patients.
出处
《中国医药指南》
2012年第35期30-31,共2页
Guide of China Medicine
关键词
腹腔镜
胆道镜
老年
胆囊结石
胆总管结石
Laparoscopy
Choledochofiberscopy
Elderly patients
Cholecystolithiasis
Choledocholithiasis
