两种微创术治疗高龄结石性胆囊炎的临床疗效与安全性比较分析

摘要

目的 比较两种不同微创术治疗高龄结石性胆囊炎的临床疗效以及安全性.方法 对120例高龄结石性胆囊炎患者分别采取腹腔镜联合胆管镜保胆取石术(A组,68例)及小切口胆管镜保胆取石术(B组,52例)进行治疗.分析两组手术中、手术后并发症以及术后随访结石复发率等情况.结果 A组手术切口、手术时间、术中出血量上优于B组,且差异有统计学意义(P<0.05).结论 腹腔镜联合胆管镜保胆取石术治疗高龄结石性胆囊炎安全有效,更能发挥微创保胆的优势.%Objective To compare the clinical curative effect and safety of two kinds of microresectings for calculous cholecystitis of the elderly. Methods 120 elderly calculous cholecystitis patients were randomly divided into laparoscopic assisted cholangioscopy gallbladder preserving cholelithotomy( group A, 68 cases )and mini-incision choledochoscopic gallbladder preserving cholelithotomy( group B,52 cases ). The situations of intraoperativepostoperative complications, and postoperative calculus relapse rate etc. in two groups were analyzed. Results The operative incision, operation time and intraoperative blood loss of group A were better than group B( P <0. 05 ). Conclusion Laparoscopic assisted cholangioscopy gallbladder preserving cholelithotomy is safe and effective for treating elderly calculous cholecystitis patients with more advantages in small invasive and gallbladder preserving.