CAJ | 학술논문

目的：探讨高龄患者腹腔镜胆囊切除术的可行性及手术处理。方法收集本院2011年1月~2013年10月收治的200例高龄胆囊疾病患者，根据手术方式将其分为对照组和研究组各100例，对照组行传统开腹胆囊切除术，研究组行腹腔镜胆囊切除术，对比分析两组的手术效果。结果研究组患者手术切口、手术时间、术后胃肠道功能恢复时间、输液时间、卧床时间、应用抗生素时间、住院时间明显短于对照组(P<0.05)，术中出血量少于对照组(P<0.05)；研究组术后疼痛发生率和并发症发生率明显低于对照组(P<0.05)；术后2周、1个月、3个月，研究组生存质量评分明显高于对照组(P<0.05)。结论腹腔镜胆囊切除治疗高龄胆囊疾病患者疗效显著，并发症发生率低，安全性高，具有微创和术后患者恢复快等优势，能有效改善患者的生存质量，故在患者条件允许情况下首选腹腔镜胆囊切除术。
목적：탐토고령환자복강경담낭절제술적가행성급수술처리。방법수집본원2011년1월~2013년10월수치적200례고령담낭질병환자，근거수술방식장기분위대조조화연구조각100례，대조조행전통개복담낭절제술，연구조행복강경담낭절제술，대비분석량조적수술효과。결과연구조환자수술절구、수술시간、술후위장도공능회복시간、수액시간、와상시간、응용항생소시간、주원시간명현단우대조조(P<0.05)，술중출혈량소우대조조(P<0.05)；연구조술후동통발생솔화병발증발생솔명현저우대조조(P<0.05)；술후2주、1개월、3개월，연구조생존질량평분명현고우대조조(P<0.05)。결론복강경담낭절제치료고령담낭질병환자료효현저，병발증발생솔저，안전성고，구유미창화술후환자회복쾌등우세，능유효개선환자적생존질량，고재환자조건윤허정황하수선복강경담낭절제술。
Objective To analyze the feasibility and surgical treatment of laparoscopic cholecystectomy for elderly pa-tients. Methods Clinical data of 200 elderly patients with gallbladder diseases who were admitted to our hospital from January 2011 to October 2013 were retrospectively analyzed.They were divided into control group (100 patients) and research group (100 patients) according to surgical methods.Conventional open cholecystectomy was given to the control group,and laparoscopic cholecystectomy was given to the research group.Surgical effects were compared and analyzed between the two groups. Results Surgical incision,the amount of bleeding during surgery,surgical time,postoperative re-covery time of gastrointestinal functions,transfusion time,time in bed,application time of antibodies,and hospitalization time in the research group were significantly less or shorter than those in the control group (P<0.05);incidence of pain and complications in the research group was significantly lower than that in the control group (P<0.05);patients’ life quality score in 2 weeks,1 month and 3 months after the surgery in the research group was significantly higher than that in the control group (P<0.05). Conclusion Laparoscopic cholecystectomy for elderly patients with gallbladder dis-eases has a significant curative effect with low incidence of complications and high safety.It has advantages of minimal-ly invasion,fast postoperative recovery for patients and can effectively improve patients’ life quality.Therefore,laparo-scopic cholecystectomy is the initial choice if patients’condition permits.