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目的:探讨高龄急性化脓性胆囊炎合理有效的手术方法,为临床治疗提供参考依据。方法:选取2011年12月至2013年12月我院收治的100例高龄急性化脓性胆囊炎患者为研究对象,依循随机平均分配原则将其分为对照组和观察组。对照组行常规开腹胆囊切除术,观察组行腹腔镜下胆囊切除术,比较两组患者术中出血量、手术时间、术后引流量、患者下床所需时间及患者住院时间等各项指标。结果:观察组术中出血量为(123.23±8.78)m L,手术时间(61.29±6.94)min,术后引流量(25.11±3.91)m L,患者下床所需时间(2.85±0.53)d,患者住院时间(10.08±1.87)d;对照组术中出血量为(310.65±23.56)m L,手术时间(108.74±12.09)min,术后引流量(75.34±9.34)m L,患者下床所需时间(4.59±1.04)d,患者住院时间(15.57±2.45)d。两组比较差异显著,具有统计学意义(P<0.05)。结论:高龄急性化脓性胆囊炎手术方式中,腹腔镜下胆囊切除术能够缩短手术时间和住院时间,减少患者术中出血量和术后引流量,具推广意义。
Objective: To investigate the reasonable and effective operative methods for senile acute suppurative cholecystitis and to provide a reference for clinical treatment. Methods: From December 2011 to December 2013, 100 cases of elderly patients with acute suppurative cholecystitis admitted to our hospital were selected as the research objects and divided into control group and observation group according to the principle of random equal distribution. The control group underwent conventional open cholecystectomy. The observation group underwent laparoscopic cholecystectomy. The blood loss, operation time, postoperative drainage volume, time required to get out of bed and length of hospital stay were compared between the two groups index. Results: The intraoperative blood loss in the observation group was (123.23 ± 8.78) m L, the operation time (61.29 ± 6.94) min, the postoperative drainage volume (25.11 ± 3.91) m L, the time required for patients to get out of bed (2.85 ± 0.53) d (10.08 ± 1.87) d, the blood loss in the control group was (310.65 ± 23.56) m L, the operation time (108.74 ± 12.09) min and the drainage volume after operation were (75.34 ± 9.34) m L, The time required (4.59 ± 1.04) d, hospital stay (15.57 ± 2.45) d. The difference between the two groups was significant, with statistical significance (P <0.05). Conclusions: Laparoscopic cholecystectomy can shorten the operation time and hospitalization time, reduce the amount of intraoperative blood loss and postoperative drainage in elderly acute suppurative cholecystitis operation, which is of great significance.