安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
JOURNAL OF ANHUI HEALTH VOCATIONAL & TECHNICAL COLLEGE
2014年
5期
62-62,63
,共2页
老年人%胆道手术
老年人%膽道手術
노년인%담도수술
Oldpeople%Biliaryoperation
目的：探讨基层医院实施老年人胆道手术的安全性。方法：回顾性分析267例65周岁以上老年人行胆道手术的临床资料。结果：实施腹腔镜胆囊切除术69例，开腹胆囊切除术124例，开腹胆囊切除+胆总管切开取石“T”管引流术56例，再次胆总管切开取石“T”管引流术18例，手术过程均顺利，术后并发切口感染5例，切口裂开1例，切口疝1例，急性支气管炎5例。结论：老年人并发慢性病较多，重视围手术期处理，在基层医院实施胆道手术是安全的。
目的：探討基層醫院實施老年人膽道手術的安全性。方法：迴顧性分析267例65週歲以上老年人行膽道手術的臨床資料。結果：實施腹腔鏡膽囊切除術69例，開腹膽囊切除術124例，開腹膽囊切除+膽總管切開取石“T”管引流術56例，再次膽總管切開取石“T”管引流術18例，手術過程均順利，術後併髮切口感染5例，切口裂開1例，切口疝1例，急性支氣管炎5例。結論：老年人併髮慢性病較多，重視圍手術期處理，在基層醫院實施膽道手術是安全的。
목적：탐토기층의원실시노년인담도수술적안전성。방법：회고성분석267례65주세이상노년인행담도수술적림상자료。결과：실시복강경담낭절제술69례，개복담낭절제술124례，개복담낭절제+담총관절개취석“T”관인류술56례，재차담총관절개취석“T”관인류술18례，수술과정균순리，술후병발절구감염5례，절구렬개1례，절구산1례，급성지기관염5례。결론：노년인병발만성병교다，중시위수술기처리，재기층의원실시담도수술시안전적。
Objective:Purpose:Discussthesafetyofperformingoperationsofbiliarytractforoldpeopleinprimaryhospitals. Methods:Retrospective analyses 267 clinical data of performing operations of biliary tract for over65-year-oldpeopleinourtownclinic.Results:Ourgroupperforms69casesoflaparoscopiccholecystectomy,124casesofopencholecystectomy,56casesofcholedocholithotomy,18casesofcholedocholithotomyforasecondtime.Allthesurgeriesgowell.Thereare5casesofpostoperativewoundinfection,1caseofwounddehiscence,1caseofincision-al hernia and 5 cases of acute bronchitis. Conclusion:Foroldpeople,chronicdiseaseisnormal.Weshouldpayattentionto patients' perioperative treatment. Performing operations of biliary tract for old people in primary hospitals is safe.
