摘要
目的 分析腹腔镜治疗老年急性结石性胆囊炎的疗效.方法 目的选取2022年1月—2023年12月泰州市第三人民医院收治的老年急性结石性胆囊炎患者76例,以治疗方法不同分为观察组与对照组,各38例,分别以腹腔镜和传统开腹治疗,对比两组临床疗效、手术相关指标、术后并发症发生率.结果 观察组临床疗效高于对照组,差异有统计学意义(P<0.05);观察组手术用时、术中出血量、术后排气时间、总住院时间分别(44.23±4.85)min、(24.17±4.01)mL、(17.44±2.68)h、(6.24±1.10)d,优于对照组的(52.15±5.31)min、(30.94±5.26)mL、(22.17±3.15)h、(8.03±1.42)d,差异有统计学意义(t=6.788、6.309、7.050、6.143,P均<0.05);观察组术后并发症低于对照组,差异有统计学意义(P<0.05).结论 老年急性结石性胆囊炎以腹腔镜治疗,有效率高,并发症发生率低.
Abstract
Objective To study the clinical effect of laparoscopic surgery in the acute calculous clinical cholecystitis treatment in the elderly.Methods Seventy-six elderly patients with acute calculous cholecystitis in Taizhou Third People's Hospital from January 2022 to December 2023 were objectively selected and divided into observation group and control group by different treatment methods,with thirty-eight cases each group.The two groups were treated by laparoscopic minimally invasive surgery and traditional open surgery,respectively.Compare the two groups clinical ef-ficacy,operation-related indexes and postoperative complication rate.Results The clinical effect of observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The observation group operation time,intraoperative blood,postoperative time and total hospital stay were(44.23±4.85)min,(24.17±4.01)mL,(17.44±2.68)h and(6.24±1.10)d,respectively,better than(52.15±5.31)min,(30.94±5.26)mL,(22.17±3.15)h,(8.03±1.42)d in control group,the differences were statistically significant(t=6.788,6.309,7.050,6.143,all P<0.05);The postoperative complications incidence of observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of minimally invasive laparoscopic surgery in elderly pa-tients with acute calculous cholecystitis has significant efficacy,low incidence of complications.
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