CAJ | 학술논문

目的：比较腹腔镜胆囊切除术与开腹胆囊切除术对老年急性胆囊炎患者治疗效果的影响，为临床提供借鉴资料。方法：选取2010年1月至2013年12月因急性胆囊炎于我院行腹腔镜胆囊切除术的年龄在65岁及以上的患者共136例，根据手术方式分为两组，其中开腹胆囊切除术组（ A 组）76例，腹腔镜胆囊切除术组（ B 组）60例，比较分析两组的治疗效果。结果：两组在术前住院时间、手术时间、术中出血量等方面均无统计学差异（P ＞0．05）。腹腔镜胆囊切除术组的术后住院时间较开腹胆囊切除术组明显缩短（P ＜0．05），且术后并发症较开腹胆囊切除术组发生率明显降低（P ＜0．05）。结论：腹腔镜胆囊切除术治疗老年急性胆囊炎患者安全有效，与开腹胆囊切除术比较，并发症少、住院时间短，值得在临床上推广应用。
목적：비교복강경담낭절제술여개복담낭절제술대노년급성담낭염환자치료효과적영향，위림상제공차감자료。방법：선취2010년1월지2013년12월인급성담낭염우아원행복강경담낭절제술적년령재65세급이상적환자공136례，근거수술방식분위량조，기중개복담낭절제술조（ A 조）76례，복강경담낭절제술조（ B 조）60례，비교분석량조적치료효과。결과：량조재술전주원시간、수술시간、술중출혈량등방면균무통계학차이（P ＞0．05）。복강경담낭절제술조적술후주원시간교개복담낭절제술조명현축단（P ＜0．05），차술후병발증교개복담낭절제술조발생솔명현강저（P ＜0．05）。결론：복강경담낭절제술치료노년급성담낭염환자안전유효，여개복담낭절제술비교，병발증소、주원시간단，치득재림상상추엄응용。
Objective To compare the effects of different surgical methods for the recovery of elderly patients with acute cholecystitis and provide reference for its clinical treatment. Methods 60 Patients aged 65 years or older undergoing laparoscopic cholecystectomy for acute cholecystitis between January 2010 and December 2013 were selected from the database. The comparison group comprised 76 patients from the same age-group who underwent open cholecystectomy for acute cholecystitis. Then the curative effects of two groups were compared and analyzed. Results 76 patients underwent laparoscopic surgery and 60 had open surgery. The demographic data and co-morbidities were compared between the two groups. The postoperative hospital stay was significantly shorter for patients undergoing laparoscopy (P < 0.05). The overall complication rate was significantly lower for patients undergoing laparoscopy (P < 0.05). There was no statistical significant difference in the operating time and the bleeding among the operation. Conclusions Laparoscopic cholecystectomy is a safe procedure for acute cholecystitis in elderly patients , resulting in fewer complications and shorter hospital stay than open cholecystectomy. Laparoscopic cholecystectomy is worth in the clinical application.