老年急性胆囊炎合并胆囊结石手术时机与手术方式探讨.docVIP

精品论文 参考文献 老年急性胆囊炎合并胆囊结石手术时机与手术方式探讨 朱锋锋 山西省晋城市城区北石店镇晋煤集团总医院 048000 【摘 要】目的：探讨老年人急性胆囊炎合并胆囊结石患者的手术时机和手术方式。方法：将120例急性胆囊炎合并胆囊结石患者根据手术方法分为两组。对照组采用传统开腹胆囊切除术治疗; 观察组采用腹腔镜胆囊切除术治疗。结果：观察组的临床总有效率为 91.7%，高于对照组的 72.2%( P＜0.05) ; 观察组并发症发生率为11.1%，低于对照组的30．6%( P＜0.05) 。结论：临床治疗急性胆囊炎合并胆囊结石时，采用腹腔镜胆囊切除术治疗可以提高临床治疗有效率，降低术后并发症的发生率。 【关键词】急性结石性胆囊炎；腹腔镜胆囊切除术；手术时机；手术方式 Study on different optional time or optional way in elderly patients with acute cholecystitis and cholelithiasis． ZHUFengfeng Department of General Surgery，Jincheng coal group general hospital，Shanxi Medical university， Jincheng048000， China 【Abstract】Objective To explore different optional time or surgical treatment in elderly patients with acute cholecystitis and cholelithiasis．Methods One hundred and twenty patients with acute calculous cholecystitis were divided into two groups according to the different optional way． The control group was treated with tradition operation，while the watch group was treated with laparoscopic cholecystectomy. Results The total clinical effective rate of the watch group was 91.7%，exceed the control group(72.2%). There was significant difference between the two groups in The total clinical effective rate ( P＜0.05)．The complication of the watch group was 11.1%， under the control group(30.6%). There was significant difference between the two groups in the complication ( P＜0.05)．Conclusion patients with acute calculous cholecystitis were treated with laparoscopic cholecystectomy better than the tradition operation ,which can increase the total clinical effective rate and reduce the complication． 【Key words】Acute calculous cholecystitis; laparoscopic cholecystectomyLC; Operation time；Operation way 【中图分类号】R657.4【文献标识码】A【文章编号】2096-0867（2016）-2-001-01 胆囊结石及急性胆囊炎是临床中常见的胆道系统疾病。随着我国人口日趋老龄化，老年胆囊结石及胆总管结石且伴发急性胆囊炎患病率有升高趋势，严重威胁老年人生命。由于老年患者病理和生理的特殊性，其症状通常不典型、病情发展比较快，术后并发症多［1，2］。如何对老年胆石症伴急性胆囊炎做出正确的治疗选择，并降低老年患者的并发症发生率与病死率，在临床上越来越受到重视。本研究旨在探讨老年急性胆囊炎合并胆囊结石时的手术时机和手术方式。 1 对象和方法 1.1 研究对象 选择 2009 年 4 月至 2014