CAJ | 학술논문

目的探讨腹腔镜胆囊切除术（LC）与开腹胆囊切除术（OC）治疗高龄急性胆囊炎的临床疗效。方法将106例高龄急性胆囊炎患者随机分为两组，观察组53例行LC手术，对照组53例行OC手术。结果观察组患者切口长度、术中出血量、置引流例数、手术时间、肠鸣音恢复时间、止痛药使用例数、术后下床时间、住院时间均低于对照组，两组相比较差异均有统计学意义（P＜0.05），观察组并发症发生0例，对照组6例占11.32%（6/53），两组相比较差异有统计学意义（P＜0.05）。结论LC治疗高龄急性胆囊炎具有创伤小、疼痛轻、腹腔粘连少、手术时间短、术中出血量少、术野清晰、切口美观、下床活动时间早、恢复快、术后并发症少等优点。
목적탐토복강경담낭절제술（LC）여개복담낭절제술（OC）치료고령급성담낭염적림상료효。방법장106례고령급성담낭염환자수궤분위량조，관찰조53례행LC수술，대조조53례행OC수술。결과관찰조환자절구장도、술중출혈량、치인류례수、수술시간、장명음회복시간、지통약사용례수、술후하상시간、주원시간균저우대조조，량조상비교차이균유통계학의의（P＜0.05），관찰조병발증발생0례，대조조6례점11.32%（6/53），량조상비교차이유통계학의의（P＜0.05）。결론LC치료고령급성담낭염구유창상소、동통경、복강점련소、수술시간단、술중출혈량소、술야청석、절구미관、하상활동시간조、회복쾌、술후병발증소등우점。
Objective To discuss the clinical efficacy of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) in the treatment of acute cholecystitis in aged. Methods 106 cases of elderly patients with acute cholecystitis were randomly divided into two groups,53 cases in the observation group were treated by the LC surgery,and 53 cases in the control group were treated by the OC surgery. Results The patients incision length,blood loss,home drainage cases,operative time,bowel sounds recovery time,painkillers number of patients using the time to get out of bed after surgery,hospital stay in the observation group were all lower than the control group,two groups of phase difference were statistically significant (P<0.05),complications cases,the control group of 6 patients accounted for 11.32%(6/53),the two groups and the difference was statistically significant (P<0.05). Conclusion LC treatment of acute cholecystitis in aged with less trauma, pain, abdominal adhesions, shorter operative time,less blood loss,a clear operative field,cut beautiful,early ambulation,quicker recovery,fewer complications,etc.