世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
54期
2-3
,共2页
≥65岁老年人%复杂性胆囊炎%腹腔镜胆囊次全切除术%安全性
≥65歲老年人%複雜性膽囊炎%腹腔鏡膽囊次全切除術%安全性
≥65세노년인%복잡성담낭염%복강경담낭차전절제술%안전성
Aged people equal to or more than 65%Complicated cholecystitis%Laparoscopic subtotal cholecystectomy%safety
目的：研究分析≥65岁老年复杂性胆囊炎行腹腔镜胆囊次全切除术的安全性及可行性。方法回顾性分析我院于2014年2月至2015年2月收治的120例≥65岁行腹腔镜手术患者的病历资料，随机的分为对照组和观察组，对照组中的60例患者应用腹腔镜胆囊切除术，观察组中的60例患者进行腹腔镜胆囊次全切除术，观察分析两组患者的手术时间和术中出血量，并观察两组患者的术后引流情况和住院时间，对比分析两组患者并发症发生情况。结果对照组患者急诊手术的比例和观察组比较，P<0.05，有统计学意义。对照组患者的手术时间、出血量等情况和观察组比较， P<0.05，有统计学意义。对照组患者胆管损伤发生率和观察组比较，明显较高，P<0.05，有统计学意义。结论≥65岁老年患者复杂性胆囊炎采取腹腔镜胆囊次全切除术治疗，不仅仅将手术风险降低，同时也避免了胆道的损伤和大出血，有一定的安全性和可行性，值得临床推广应用。
目的：研究分析≥65歲老年複雜性膽囊炎行腹腔鏡膽囊次全切除術的安全性及可行性。方法迴顧性分析我院于2014年2月至2015年2月收治的120例≥65歲行腹腔鏡手術患者的病歷資料，隨機的分為對照組和觀察組，對照組中的60例患者應用腹腔鏡膽囊切除術，觀察組中的60例患者進行腹腔鏡膽囊次全切除術，觀察分析兩組患者的手術時間和術中齣血量，併觀察兩組患者的術後引流情況和住院時間，對比分析兩組患者併髮癥髮生情況。結果對照組患者急診手術的比例和觀察組比較，P<0.05，有統計學意義。對照組患者的手術時間、齣血量等情況和觀察組比較， P<0.05，有統計學意義。對照組患者膽管損傷髮生率和觀察組比較，明顯較高，P<0.05，有統計學意義。結論≥65歲老年患者複雜性膽囊炎採取腹腔鏡膽囊次全切除術治療，不僅僅將手術風險降低，同時也避免瞭膽道的損傷和大齣血，有一定的安全性和可行性，值得臨床推廣應用。
목적：연구분석≥65세노년복잡성담낭염행복강경담낭차전절제술적안전성급가행성。방법회고성분석아원우2014년2월지2015년2월수치적120례≥65세행복강경수술환자적병력자료，수궤적분위대조조화관찰조，대조조중적60례환자응용복강경담낭절제술，관찰조중적60례환자진행복강경담낭차전절제술，관찰분석량조환자적수술시간화술중출혈량，병관찰량조환자적술후인류정황화주원시간，대비분석량조환자병발증발생정황。결과대조조환자급진수술적비례화관찰조비교，P<0.05，유통계학의의。대조조환자적수술시간、출혈량등정황화관찰조비교， P<0.05，유통계학의의。대조조환자담관손상발생솔화관찰조비교，명현교고，P<0.05，유통계학의의。결론≥65세노년환자복잡성담낭염채취복강경담낭차전절제술치료，불부부장수술풍험강저，동시야피면료담도적손상화대출혈，유일정적안전성화가행성，치득림상추엄응용。
ABSTRACT:Objective To study and analyze safety and feasibility of complicated cholecystitis of aged people equal to or more than 65 treated by laparoscopic subtotal cholecystectomy.Method Review and analyze medical record data of 120 cases laparoscopic operation received in our hospital during February 2014 and February 2015 aged 65 and above, and randomLy divide them into control and observation group. 60 cases in control group applies for laparoscopic cholecystectomy, 60 cases in observation group for laparoscopic subtotal cholecystectomy. Observe and analyze both groups of patients with operation time and intraoperative hemorrhage volume, and observe drainage after operation and hospitalization time, compare and analyze complications occurrence of both groups.Result proportion of emergency operation between control and observation group, shows hadstatistical significance,P<0.05. Operation time, hemorrhage volume and other conditions between control and observation group, shows statistical significance,P<0.05. Incidence of bile duct injury of control group is significantly higher than that of observation group with statistical significance,P<0.05.Conclusion complicated cholecystitis treated by laparoscopic subtotal cholecystectomy of aged people equal to or more than 65, not only reduces surgery risks, but avoids bile duct injury and bleeding, with a certain safety and feasibility, which is worthy of being spreaded for clinical application.
