腹腔镜与开腹手术治疗老年胆囊炎患者的分析

目的观察在治疗老年急性胆囊炎患者采取开腹手术与腹腔镜手术的治疗效果并分析。方法将2017年1月—2018年9月期间医院收治的74例急性胆囊炎患者采用随机数字表法分为观察组和对照组,对照组37例采取开腹手术治疗,观察组37例采取腹腔镜治疗,对比两组治疗效果。结果观察组并发症发生率5.4%、治疗总有效率97.3%优于对照组的24.3%、78.4%,P<0.05。观察组术中出血量(15.7±3.4)mL、手术时间(40.7±4.4)min、住院时间(7.1±1.8)d、术后肠道恢复时间(3.3±1.2)d均低于对照组的(46.4±3.5)mL、(68.6±14.7)min、(12.6±2.3)d、(6.1±1.5)d,P<0.05。观察组躯体疼痛(87.3±0.5)分、总体健康(85.2±1.2)分、精神状况(86.4±1.3)分、社会活动评分(90.2±1.3)分均高于于对照组(78.3±1.2)分、(70.3±10.8)分、(71.3±0.5)分、(75.5±2.1)分,对比有统计学意义(P<0.05)。结论腹腔镜手术治疗老年急性胆囊炎患者效果良好,可有效减少患者病程,促进康复和提高生活质量,值得推广。

Analysis of Laparoscopic and Open Cholecystectomy in Elderly Patients With Cholecystitis

Objective To observe and analyze the effect of laparotomy and laparoscopy in the treatment of elderly patients with acute cholecystitis.Methods 74 patients with acute cholecystitis admitted from January 2017 to September 2018 were randomly divided into the observation group and the control group.37 patients in the control group were treated by laparotomy,and 37 patients in the observation group were treated by laparoscopy.Results The incidence of complications in the observation group was 5.4%and the total effective rate was 97.3%,which was better than 24.3%and 78.4%in the control group,P<0.05.The bleeding volume(15.7±3.4)ml,operation time(40.7±4.4)min,hospitalization time(7.1±.8)d,intestinal recovery time(3.3±1.2)d in the observation group were lower than those in the control group(46.4±3.5)ml,(68.6±14.7)min,(12.6±2.3)d,(6.1±1.5)d,P<0.05.The scores of somatic pain(87.3±0.5),general health(85.2±1.2),mental status(86.4±1.3),social activity(90.2±1.3)in the observation group were higher than those in the control group(78.3±1.2),(70.3±10.8),(71.3±0.5)and(75.5±2.1),with statistical significance(P<0.05).Conclusion Laparoscopic surgery for elderly patients with acute cholecystitis is effective,can effectively reduce the course of disease,promote rehabilitation and improve the quality of life,it is worth promoting.