首页|老年人胆囊炎胆结石手术治疗的临床分析

老年人胆囊炎胆结石手术治疗的临床分析

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目的 研究老年人胆囊炎胆结石手术的治疗效果.方法 随机选取2023年1月—2024年1月六盘水市人民医院收治的老年人胆囊炎胆结石患者60例,按随机数表法分为研究组(腹腔镜胆囊切除术)和对照组(常规开腹手术),每组30例,分析治疗效果.结果 研究组手术时间、术中出血量、住院时间、肛门排气时间、肠鸣音恢复时间、排便时间、进食时间均优于对照组,差异有统计学意义(P均<0.05).术后,研究组中性粒细胞、白细胞计数、C反应蛋白指标均低于对照组,差异有统计学意义(P均<0.05).研究组并发症总发生率(6.67%)低于对照组(30.00%),差异有统计学意义(χ2=5.454,P<0.05).结论 腹腔镜下行胆囊切除术运用在急性胆囊炎并发胆结石治疗中,可明显改善其手术相关指标、炎症因子以及应激指标,降低并发症出现的概率,预后效果良好,安全性高.
Clinical Analysis of Operative Treatment of Gallstones in Elderly Patients with Cholecystitis
Objective To study the effect of operation on cholecystitis gallstones in elderly patients.Methods 60 el-derly patients with cholecystitis and gallstones admitted to Liupanshui People's Hospital from January 2023 to Janu-ary 2024 were randomly selected and divided into study group(laparoscopic cholecystectomy)and control group(rou-tine open surgery)by random number table method,30 cases in each group.The therapeutic effect was analyzed.Re-sults The operation time,intraoperative blood loss,hospital stay,anal exhaust time,bowel sound recovery time,defeca-tion time and feeding time of the study group were better than those of the control group,and the differences were sta-tistically significant(all P<0.05).After surgery,neutrophil,white blood cell count and C-reactive protein in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The to-tal complication rate of the study group(6.67%)was lower than that of the control group(30.00%),and the difference was statistically significant(χ2=5.454,P<0.05).Conclusion Laparoscopic cholecystectomy in the treatment of acute cholecystitis complicated with gallstones can significantly improve the surgical indicators,inflammatory factors and stress indicators,reduce the probability of complications,the prognosis is good,high safety.

Laparoscopic cholecystectomyCholecystitisGallstonesElderlyCurative effect

湛卫华、赵洪、程永鹏、李军

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六盘水市人民医院,贵州六盘水 553000

腹腔镜胆囊切除术 胆囊炎 胆结石 老年 疗效

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(10)
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