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应用腹腔镜手术治疗高龄胆结石患者临床疗效探讨 被引量:66

Clinical curative effect of laparoscopic surgery for senile patients with gallstones
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摘要 目的比较常规外科手术与腹腔镜手术治疗高龄胆结石患者的临床疗效,为选择手术方式提供依据。方法将我院2011年3月~2012年12月间收治的80例老年胆结石患者设为研究对象,随机分为两组,即对照组与治疗组,各40例。对照组患者予医院常规外科手术治疗,治疗组患者则予腹腔镜手术治疗。分析对比两组治疗效果的差异。结果治疗组手术时间明显低于对照组,而手术出血量以及手术切口均显著小于对照组(P<0.05),术后治疗组患者并发症小于对照组(P<0.05)。结论老年胆结石患者采用腹腔镜手术切除胆囊与传统普外常规手术切除相比更具有显著的临床效果,具有临床推广使用价值。 Objective To compare the clinical curative effect of conventional surgery and laparoscopic surgery tbr senile patients with gallstones, and provide the basis for choosing operation method. Methods 80 cases of senile patients with gallstones were selected as the research object from March 2011 to December '2012 in our hospital.The patients were randomly divided into two groups, 40 cases in each group.The patients in the control group were treated with conventional surgery, while the treatment group were treated with laparoscopic surgery, the clinical curative effect of the two groups were compared. Results The operation time of the treatment group was obviously lower than that of the control group, the amount of bleeding and surgery incision of the treatment group were significantly less than control group (P〈0.05),and the postoperative complications of the treatment group was less than the control group (P〈0.05). Conclusion Compared with the conventional surgery, laparoscopic surgery has significant clinical effect in the treatment of gallstones for senile patients, and has clinical spread value.
作者 张英杰 王勇
出处 《中国现代医生》 2014年第2期129-131,共3页 China Modern Doctor
基金 浙江省医药卫生科技计划(2010KYB053)
关键词 高龄胆结石患者 腹腔镜手术 普外常规手术 Elderly patients with gallstones Laparoscopic surgery Conventional general surgery
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