腹腔镜胆囊切除术治疗老年性急性结石性胆囊炎的研究

摘要

Objective:To study the choice of the operation time of the traditional laparoscopic cholecystectomy , which treatment of se-nile acute cholecystitis .Methods:Collect our hospital from January 2010 to January 2012 , the 65 cases of elderly patients with acute cho-lecystitis treated by LC in our hospital , such as access to information such as age and gender , comparison of the early group (≤3 days) and delayed group (>3 days) of the operation time , intraoperative blood loss, hospitalization time and complications of the differences . Results:Compared with the operation index of the early group and the delayed group , the operation time, blood loss, hospitalization days in the early group were less than the delay group, and there were statistically significant (P0.05).Conclusion:Laparoscopic cholecystectomy for the treatment of senile acute cholecystitis was best in the early stage , shoul pay attention to the postoperative complications and active treatment .%目的：研究传统腹腔镜胆囊切除术（ Laparoscopic cholecystecttomy ， LC）治疗老年性急性结石性胆囊炎不同手术时机的选择。方法：收集我院2010年1月～2012年1月我院行LC治疗的老年性急性结石性胆囊炎65例患者，获得如年龄、性别等信息，比较早期组（≤3天）与延期组（＞3天）的手术时间、术中出血量、住院时间和近期并发症的差异。结果：早期组与延期组手术指标比较，早期组手术时间、术中出血量、住院天数均小于延期组，有统计学意义（ P＜0．05）。随访时间3～5年，11例在术后3年后失访，失访率16．92％。随访终末期早期组与延期组近期并发症发生率无统计学差异（ P＞0．05）。结论：腹腔镜胆囊切除术治疗老年性急性结石性胆囊炎最好在发病早期进行，并注意相关术后并发症积极处理。