老年急性结石性胆囊炎腹腔镜手术时机的探讨
发布时间：2019-08-14 16:53
【摘要】：目的探讨老年急性结石性胆囊炎(ACC)的手术时机,以期提高其腹腔镜手术治疗效果。方法本研究为2013年6月至2016年5月收治的79例老年ACC患者,根据其是否具有手术指征,随机分为手术组(40例)和非手术组(39例);手术组行腹腔镜胆囊切除术(LC),再根据术前发病时间早晚,分为早期LC组(72 h)10例、晚期LC组(72 h)30例。采用SPSS 18.0软件进行统计学处理。两组患者的血常规、高敏C反应蛋白、肝功能、血凝常规等指标以均数±标准差(xs恕纒)表示,采用t检验进行比较;手术疗效以率(%)表示,组间比较采用t检验。P0.05表示差异有统计学意义。结果术前手术组较非手术组年龄显著减小、血清总蛋白显著增高(P0.05),两组的并存病、其余实验室检查结果均差异无统计学意义(P0.05)。发病早期组(72 h)与发病晚期组(72 h)LC的手术成功率均为100%,两组的手术时间、术中出血量、术后住院天数无显著差异(P0.05)。手术组治愈40例,治愈率100%。非手术组治愈27例,治愈率69.2%(χ2=14.512,P=0.001)差异有显著统计学意义。结论老年ACC患者既使发病时间超过72 h,腹腔镜胆囊切除术也是安全可行的,关键在于切实掌握手术时机、熟练掌握腹腔镜手术技巧,以期进一步提高老年ACC患者的腹腔镜手术治疗效果。
[Abstract]:Objective to investigate the timing of (ACC) operation in elderly patients with acute calculous cholecystitis in order to improve the effect of laparoscopic surgery. Methods from June 2013 to May 2016, 79 elderly patients with ACC were randomly divided into operation group (n = 40) and non-operation group (n = 39). According to the time of onset of laparoscopic Cholecystectomy, (LC), in the operation group was divided into early LC group (n = 10) and late LC group (n = 30). SPSS 18.0 software was used for statistical analysis. The indexes of blood routine, high sensitivity C-reactive protein, liver function and blood coagulation routine of the two groups were expressed by mean 卤standard deviation (xs), and compared with t test, and the curative effect of operation was expressed by rate (%), and the difference between groups was statistically significant (P 0.05). Results compared with the non-operation group, the age of the preoperative operation group was significantly lower and the serum total protein was significantly higher than that of the non-operation group (P 0.05). There was no significant difference in the coexisting diseases between the two groups (P 0.05). The success rate of operation was 100% in the early stage group (72 h) and the late stage group (72 h) LC). There was no significant difference in the operation time, the amount of intraoperative bleeding and the postoperative hospitalization days between the two groups (P 0.05). In the operation group, 40 cases were cured, the cure rate was 100%. In the non-operation group, 27 cases were cured, the cure rate was 69.2% (蠂 ~ 2 鈮，
本文编号：2526681
[Abstract]:Objective to investigate the timing of (ACC) operation in elderly patients with acute calculous cholecystitis in order to improve the effect of laparoscopic surgery. Methods from June 2013 to May 2016, 79 elderly patients with ACC were randomly divided into operation group (n = 40) and non-operation group (n = 39). According to the time of onset of laparoscopic Cholecystectomy, (LC), in the operation group was divided into early LC group (n = 10) and late LC group (n = 30). SPSS 18.0 software was used for statistical analysis. The indexes of blood routine, high sensitivity C-reactive protein, liver function and blood coagulation routine of the two groups were expressed by mean 卤standard deviation (xs), and compared with t test, and the curative effect of operation was expressed by rate (%), and the difference between groups was statistically significant (P 0.05). Results compared with the non-operation group, the age of the preoperative operation group was significantly lower and the serum total protein was significantly higher than that of the non-operation group (P 0.05). There was no significant difference in the coexisting diseases between the two groups (P 0.05). The success rate of operation was 100% in the early stage group (72 h) and the late stage group (72 h) LC). There was no significant difference in the operation time, the amount of intraoperative bleeding and the postoperative hospitalization days between the two groups (P 0.05). In the operation group, 40 cases were cured, the cure rate was 100%. In the non-operation group, 27 cases were cured, the cure rate was 69.2% (蠂 ~ 2 鈮，
本文编号：2526681
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