56例老年人急性结石性胆囊炎临床分析

目的总结老年人急性结石性胆囊炎手术治疗经验。方法回顾分析56例老年人结石性胆囊炎的临床特点,围手术期处理,手术时机、方式及疗效。结果24例急诊手术,18例早期手术,14例择期手术。术式有开腹胆囊切除术、胆囊切除+胆总管切开术,腹腔镜胆囊切除术,胆囊造瘘术,胆囊切开取石术。55例痊愈,1例死于急性心肌梗死。结论根据老年患者的临床特点,选择恰当的手术时机、手术方式,同时加强围手术期的处理。

Treatment of Aged Acute Calculous Cholecystitis:An Analysis of 56 Cases

Objective To evaluate the operative treatment of aged acute calculous cholecystitis.Methods The clinical character, the operative timing and way and effect, the perioperative cares were reviewed in 56 cases with aged acute cal- culous cholecystitis. Results 24 cases were emergently operated, 18 cases by early operations, 14 eases by late opera- tions, The ways include laparocholecystomomy, cholecystectomy plus.choledochenclysis, laparoscopie choleeystectomy, cholecystomy, cholelithotomy. 55 cases were cured, 1 case died of acute myocardial infarction. Conclusion Acordingy to clinical chareter select timing and way appropriately and strengthen perioperative cases.