老年急性結石性膽囊炎腹腔鏡手術時機的探討
發(fā)布時間：2019-08-14 16:53
【摘要】：目的探討老年急性結石性膽囊炎(ACC)的手術時機,以期提高其腹腔鏡手術治療效果。方法本研究為2013年6月至2016年5月收治的79例老年ACC患者,根據(jù)其是否具有手術指征,隨機分為手術組(40例)和非手術組(39例);手術組行腹腔鏡膽囊切除術(LC),再根據(jù)術前發(fā)病時間早晚,分為早期LC組(72 h)10例、晚期LC組(72 h)30例。采用SPSS 18.0軟件進行統(tǒng)計學處理。兩組患者的血常規(guī)、高敏C反應蛋白、肝功能、血凝常規(guī)等指標以均數(shù)±標準差(xs恕纒)表示,采用t檢驗進行比較;手術療效以率(%)表示,組間比較采用t檢驗。P0.05表示差異有統(tǒng)計學意義。結果術前手術組較非手術組年齡顯著減小、血清總蛋白顯著增高(P0.05),兩組的并存病、其余實驗室檢查結果均差異無統(tǒng)計學意義(P0.05)。發(fā)病早期組(72 h)與發(fā)病晚期組(72 h)LC的手術成功率均為100%,兩組的手術時間、術中出血量、術后住院天數(shù)無顯著差異(P0.05)。手術組治愈40例,治愈率100%。非手術組治愈27例,治愈率69.2%(χ2=14.512,P=0.001)差異有顯著統(tǒng)計學意義。結論老年ACC患者既使發(fā)病時間超過72 h,腹腔鏡膽囊切除術也是安全可行的,關鍵在于切實掌握手術時機、熟練掌握腹腔鏡手術技巧,以期進一步提高老年ACC患者的腹腔鏡手術治療效果。
[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 鹵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，
本文編號：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 鹵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，
本文編號：2526681
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