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腹腔镜胆囊切除术治疗老年急性胆囊炎的临床研究 被引量:2

Clinical research of laparoscopic cholecystectomy in the treatment of acute cholecystitis in elderly patients
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摘要 目的探究腹腔镜胆囊切除术治疗老年急性胆囊炎的临床效果。方法选取于我院普外科治疗的老年急性胆囊炎患者138例,按照数字随机法分为观察组69例和对照组69例。对照组患者实施胆囊切除术治疗,观察组患者实施腹腔镜胆囊切除术治疗,对比分析两组患者手术情况、并发症发生情况及临床治疗效果。结果观察组患者手术时间、术中出血量、住院时间及术后肠功能恢复时间优于对照组;观察组患者的治疗总有效率为97.10%,明显高于对照组的86.96%;观察组患者并发症发生率为4.35%,低于对照组的14.49%,差异均具有统计学意义(P<0.05)。结论老年急性胆囊炎患者,实施腹腔镜胆囊切除术治疗,疗效显著,给患者带来的损伤小,并发症少,有利于促进老年患者恢复。 Objective To explore the clinical effect of laparoscopic cholecystectomy in the treatment of elderly patients with abnormal cholecystitis. Methods One hundred and thirty-eight cases of elderly patients with acute cholecystitis in our hospital were randomly divided into observation group and control group, 69 cases in the observation group and 69 cases in the control group. Patients in the control group were treated with cholecystectomy, the observation group was treated with laparoscopic cholecystectomy. The operation situation of the two groups were compared and analyzed, the incidence of complications and clinical treatment effect were analyzed. Results The operation time, intraoperative blood loss, hospitalization time, postoperative intestinal function recovery time of observation group patients were better than those of control group; the total treatment efficiency of the observation group with 97.10%, which was significantly higher than 86.96% of the control group; the complication rate of observation group was 4.35%, which was lower than 14.49% of the control group with, all these differences were statistically significant (P 〈0.05). Conclusion Laparoscopic cholecystectomy in the treatment of elderly patients with acute cholecystitis has less damage and complications, which can promote the recovery of elderly patients.
出处 《临床医学研究与实践》 2016年第20期32-33,共2页 Clinical Research and Practice
关键词 老年患者 急性胆囊炎 腹腔镜胆囊切除术 elderly patients acute cholecystitis laparoscopic cholecystectomy
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