摘要
目的探讨腹腔镜胆囊切除术应用于老年急性坏疽性胆囊炎的临床价值。方法回顾性收集2010年3月～2015年6月期间我院收治的AGC患者86例作为研究对象，依据手术方式的差异，将28例行开腹胆囊切除术的患者作为对照组，58例行LC的患者作为观察组，比较两组患者在手术疗效、手术一般情况、术后并发症等方面的差异。结果观察组患者的手术成功率略高于对照组（P〉0．05），差异不具有统计学意义，两者疗效相当；观察组患者的术中出血量明显少于对照组（P〈0．05），且手术时间、术后排气时间、拔管时间、住院时间等明显短于对照组（P〈0．05），差异均具有统计学意义；观察组患者的术后并发症的发生率明显低于对照组（P〈0．05），差异具有统计学意义。结论在疗效相当的基础上，LC能够加快患者的恢复，降低并发症发生的风险，值得临床应用和推广。
Objective To investigate the clinical efficacy and value of laparoscopic surgery for elderly patients with acute cholecystitis. Methods 86 cases of elderly patients with acute gangrenous cholecystitis who treated in hospital ranging from March 2010 to June 2015 were selected as the research object. 28 cases of patients in the treatment of acute gangrenous cholecystitis by Laparoscopic cholecystectomy were divided into control group. And then 58 cases of the other patients were divided into observation group. The differences of surgical effect, surgical circumstance and complication of both groups were compared. Results The surgical success rate of observation group were slightly higher than control group （ P 〉 0. 05 ） and the difference were not statistically significant. Blood loss of observation group were significantly less than control group （ P 〈 0. 05 ） , and the operative time, exhaust time, extubation time and hospital stay were significantly shorter than control group （ P 〈 0. 05 ）. The difference were statistically significant. Incidence of postoperative complications in observation group were significantly lower than that of control group （ P 〈 0.05 ）. The difference were statistically significant. Conclusion Laparoscopic cholecystectomy could speed up the recovery of patients and reduce the risk of complications on the efficacy comparable basis. It is worthy of clinical application and promotion.
出处
《肝胆外科杂志》
2016年第3期214-216,共3页
Journal of Hepatobiliary Surgery
关键词
腹腔镜
老年
坏疽性胆囊炎
laparoscopy, elderly, gangrenous cholecystitis
