老年良性胆囊疾病腹腔镜胆囊切除与开腹胆囊切除的比较分析.docVIP

老年良性胆囊疾病腹腔镜胆囊切除与开腹胆囊切除的比较分析 　　[摘要] 目的 比较老年良性胆囊疾病腹腔镜胆囊切除与开腹胆囊切除的临床疗效。方法 方便选取2012年5月―2017年5月期间该院收治的100例老年良性胆囊疾病患者，将其抽签化分组，两组各有50例，对照组和观察组分别采用开腹胆囊切除术治疗和腹腔镜胆囊切除术治疗。结果 观察组患者的住院时间（6.53±0.13）d、排气时间（6.45±2.14）h、胃?c道恢复时间（12.75±4.36）h、手术时间（42.17±6.32）min、术中出血量（52.39±5.47）mL、下床活动时间（1.85±0.32）d、不良事件发生率（4.00%）、心理功能（96.53±2.11）分、躯体功能（95.36±2.41）分、物质生活（97.84±1.23）分、社会功能评分（96.35±1.42）分均优于对照组（P0.05）。结论 对良性胆囊疾病患者实施腹腔镜胆囊切除术效果更为显著。 　　[关键词] 良性胆囊疾病；腹腔镜胆囊切除；开腹胆囊切除 　　[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0073-03 　　Comparative Analysis of Laparoscopic Cholecystectomy and Open Cholecystectomy in Elderly Patients with Benign Gallbladder Disease 　　ZHANG Wei-yuan 　　Department of General Surgery， Section One， Wujin People’s Hospital， Changzhou， Jiangsu Province， 213000 China 　　[Abstract] Objective This paper tries to compare the clinical efficacy of laparoscopic cholecystectomy and open cholecystectomy in elderly patients with benign gallbladder disease. Methods 100 patients with benign gallbladder disease were conveniently selected from May 2012 to May 2017， and were divided into the control group and the observation group， with 50 patients in each group. The control group and the observation group adopted abdominal cholecystectomy and laparoscopic cholecystectomy respectively. Results The time of hospitalization was （6.53±0.13）d， the time of exhaust was （6.45±2.14）h， the recovery time of gastrointestinal tract was （12.75±4.36）h， the operation time was （42.17±6.32）min， intraoperation blood loss was （52.39±5.47）mL， activity time off bed was （1.85±0.32）d， the incidence of adverse reaction was 4.00%， the physical function was （96.53±2.11）points， the physical function was （95.36±2.41）points， the physical life was （97.84±1.23） points， and social function score was （96.35±1.42）points， better than those in the control group （P0.05）. Conclusion Laparoscopic cholecystectomy is more effective in patients with benign gallbladder disease. 　　[Key words] Benign gallbladder disease； Lapa