临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2014年
10期
1293-1294
,共2页
手术%老年%胆结石胆囊炎
手術%老年%膽結石膽囊炎
수술%노년%담결석담낭염
Operation%Elderly%Gallstone cholecystitis
目的：探讨手术治疗老年胆结石胆囊炎的临床效果。方法选取本院2011年12月至2013年12月诊治的老年胆结石胆囊炎患者60例，采用数字随机法分为两组，每组各30例。对照组患者采用开腹手术治疗，观察组患者采用腹腔镜手术治疗。比较两组患者手术相关指标、治疗效果、术后并发症情况。结果观察组患者切口长度、手术时间、术中出血量、术后住院时间均明显小于对照组；观察组患者总有效率(96.7%)明显高于对照组(80.0%)，观察组患者并发症发生率(3.3%)明显低于对照组(23.3%)，差异均有统计学意义(P<0.05)。结论开腹手术与腹腔镜手术均是治疗老年胆结石胆囊炎的有效方法，其中腹腔镜手术的治疗效果更好，对患者创伤小，可明显缩短患者的治疗时间和恢复时间，术后并发症少且安全性高，值得临床推广。
目的：探討手術治療老年膽結石膽囊炎的臨床效果。方法選取本院2011年12月至2013年12月診治的老年膽結石膽囊炎患者60例，採用數字隨機法分為兩組，每組各30例。對照組患者採用開腹手術治療，觀察組患者採用腹腔鏡手術治療。比較兩組患者手術相關指標、治療效果、術後併髮癥情況。結果觀察組患者切口長度、手術時間、術中齣血量、術後住院時間均明顯小于對照組；觀察組患者總有效率(96.7%)明顯高于對照組(80.0%)，觀察組患者併髮癥髮生率(3.3%)明顯低于對照組(23.3%)，差異均有統計學意義(P<0.05)。結論開腹手術與腹腔鏡手術均是治療老年膽結石膽囊炎的有效方法，其中腹腔鏡手術的治療效果更好，對患者創傷小，可明顯縮短患者的治療時間和恢複時間，術後併髮癥少且安全性高，值得臨床推廣。
목적：탐토수술치료노년담결석담낭염적림상효과。방법선취본원2011년12월지2013년12월진치적노년담결석담낭염환자60례，채용수자수궤법분위량조，매조각30례。대조조환자채용개복수술치료，관찰조환자채용복강경수술치료。비교량조환자수술상관지표、치료효과、술후병발증정황。결과관찰조환자절구장도、수술시간、술중출혈량、술후주원시간균명현소우대조조；관찰조환자총유효솔(96.7%)명현고우대조조(80.0%)，관찰조환자병발증발생솔(3.3%)명현저우대조조(23.3%)，차이균유통계학의의(P<0.05)。결론개복수술여복강경수술균시치료노년담결석담낭염적유효방법，기중복강경수술적치료효과경호，대환자창상소，가명현축단환자적치료시간화회복시간，술후병발증소차안전성고，치득림상추엄。
Objective To investigate the clinical effect of operation in treating elderly gallstone cholecystitis. Methods 60 cases of elderly patients with gallstone cholecystitis treated in our hospital from December 2011 to December 2013 were selected and randomly divided into observation group and control group, with 30 cases in each group. The control group received open operation for treating, the observation group was given laparoscopic operation for treating. The operation related indexes, the therapeutic effect and the postoperative complications were compared. Results The length of incision, the operation time, the intraoperative bleeding volume, the postoperative hospitalization time of the observation group were significantly less than those of the control group;the total effective rate of the observation group (96.7%) was significantly higher than that of the control group (80%);the complication rate of the observation group (3.3%) was significantly lower than that of the control group (23.3%), all of them had statistically significant difference (P <0.05). Conclusions Open operation and laparoscopic operation are effective methods in treating elderly patients with gallstone cholecystitis. Laparoscopic operation has better treatment effect and can significantly shorten the treatment time and recovery time, enjoy small trauma, fewer postoperative complications and higher safety, which is worthy of promotion.
