腹腔镜胆囊切除术治疗老年胆囊结石的效果观察.doc

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1、觀翻IBtim飭轴石^2018-03-2110:12:00中国现代医生2018年2期赵雄齐高红强白建华秦勇［摘要］目的探讨分析老年胆•發结石患者采用腹腔镜胆囊切除术治疗的临床效果。方法选择2013年1月〜2017年5月间我院经治的47例老年胆.囊结石患者为实验组，所有患者均行腹腔镜加囊切除术治疗。另选取同时期来我院行传统切除术的老年胆粪结石患者作为对照组，观察老年胆粪结石患者的临床治疗效果。针对其住院时间、手术时间、术中出血量、住院费用、切口长度、临床治疗冇效率、并发症情况、手术前后的炎症因子及免疫功能情况进行分析。结果经治疗，实验组老年胆囊结石患者的治疗有效率为93.62%,患者的住院

2、时间为(2.8±0.4)d、手术时间(42.6±13.5)min、术中出血*(26.1±9.7)mL、住院费用(3264±274)元及切口长度(3.2±0.6),均优于对照组(P<0.05)o实验组发生并发症者3例，明显少于对照组的8例，两组比较差异有统计学意义(P<0.05)。结论腹腔镜胆•囊切除术治疗对于老年胆•囊结石患者是非常有效的治疗手段,可提高患者的治疗有效率，有利于患者的康复。［关键词］老年皿囊结石；腹腔镜治疗；胆•囊切除术；炎症因子［中图分类号］R657.4+1［文献标识码］B［文章编号］1673-9701(2018)02-0037-03［Abstract］Objectiv

3、eToinvestigatetheclinicaleffectoflaparoscopiccholecystectomyinelderlypatientswithcholecystolithiasis.Methods47elderlypatientswithcholecystolithiasistreatedinourhospitalwereselectedastheexperimentalgroup・ThedataofthepatientswerefromJanuary2013toMay2017,andallthepatientsunderwentlaparoscopiccholecy

4、stectomy.Inaddition,theelderlypatientswithcholecystolithiasiswhounderwenttraditionalcholecystectomyinthesameperiodwereselectedasthecontrolgroup・Thehospitalizationtime,operationtime,intraoperativebleeding，hospitalizationcosts,incisionlength,clinicaltreatmentefficiency,complications,Inflammatoryfac

5、torsbeforeandaftersurgeryandimmunefunctionwereanalyzed・ResultsTheeffectiverateoftreatmentwas93.62%inpatientswithelderlycholecystolithiasisaftertreatment.Thelengthofhospitalstay(2.8±0.4)d,theoperationtime(42.6±13.5)min,theamountofbleedingduringoperation(26.1±9.7)mL,hospitalizationcosts(3264±274)yu

6、anandlengthofincision(3.2±0.6)intheexperimentalgroupwereallbetterthanthoseinthecontrolgroup(P<0.05).Therewere3casesofcomplicationintheexperimentalgroup,whichwassignificantlyfewerthan8casesinthecontrolgroup,andthediffereneewasstatisticallysignificant(P<0.05)・ConclusionLaparoscopiccholecystectomyis

7、averyeffectivetreatmentforelderlypatientswithcholecystolithiasis,whichcanimprovethetreatmentefficiencyofpatientsandfacilitatetherecoveryofpatients.［Keywords］Elderlycholecystolithiasis；Laparoscopictreatment；Cholecystect