CAJ | 학술논문

目的：探讨穿刺术治疗老年急性胆囊炎的临床疗效。方法：收治老年急性胆囊炎患者98例，随机分为观察组和对照组各49例，对照组给予传统开腹胆囊切除术治疗，观察组给予经皮经肝胆囊穿刺术治疗，对比两组的临床效果及并发症发生情况。结果：观察组患者的手术时间、术中出血量、胃肠道恢复时间、疼痛缓解时间、住院时间明显少于对照组(P＜0.05)；观察组患者的并发症发生率明显低于对照组(P＜0.05)。观察组患者临床治疗总有效率明显高于对照组(P＜0.05)。结论：在老年急性胆囊炎的临床治疗过程中，经皮经肝胆囊穿刺术的临床疗效显著，并发症的发生率较低。
목적：탐토천자술치료노년급성담낭염적림상료효。방법：수치노년급성담낭염환자98례，수궤분위관찰조화대조조각49례，대조조급여전통개복담낭절제술치료，관찰조급여경피경간담낭천자술치료，대비량조적림상효과급병발증발생정황。결과：관찰조환자적수술시간、술중출혈량、위장도회복시간、동통완해시간、주원시간명현소우대조조(P＜0.05)；관찰조환자적병발증발생솔명현저우대조조(P＜0.05)。관찰조환자림상치료총유효솔명현고우대조조(P＜0.05)。결론：재노년급성담낭염적림상치료과정중，경피경간담낭천자술적림상료효현저，병발증적발생솔교저。
Objective:To explore the clinical curative effect of paracentesis in the treatment of elderly acute cholecystitis.Methods:98 patients with elderly acute cholecystitis were selected.They were randomly divided into the observation group and the control group with 49 cases in each.The control group was given traditional open cholecystectomy treatment.The observation group was given percutaneous liver gallbladder paracentesis treatment.The clinical effects and complications occurrences of two groups were compared.Results:The operation time,intraoperative blood loss,recovery time of gastrointestinal tract,pain relief time,hospital stay of the observation group were significantly less than those of the control group(P<0.05).The complication incidence rate of the observation group was significantly lower than that of the control group(P<0.05).The total effective rate of clinical treatment of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:In the clinical treatment process of elderly acute cholecystitis,the clinical curative effect of percutaneous liver gallbladder paracentesis is significant,and the incidence rate of complications is low.