LC和OC在高龄高危高难度胆囊炎治疗中的对比研究

目的探讨高龄高危高难度胆囊炎的最佳手术方法。方法将69例高龄高危高难度胆囊炎患者随机分成两组,分别为腹腔镜胆囊切除(LC)和开腹胆囊切除(OC)两种手术方法治疗,LC组32例,OC组37例,观察手术恢复及并发症等情况。结果LC组较OC组的创伤小、痛苦小、恢复快、并发症发生率低等。从手术时间、术中出血量、疼痛指数、肠功能恢复时间、住院时间、并发症发生率等,LC组明显优于OC组(P<0.001或P<0.05)。结论对高龄高危高难度胆囊炎的外科治疗LC与OC比较,从避免并发症,减轻病人痛苦,提高治疗效果及病人生活质量等方面来看,LC为首选。

Comparative study of LC and OC in high-risk and elderly patients

Objective] To evaluate the most difficult surgery in high risk and elderly patients with cholecystitis. Methods] 69 patients who treated by laparoscope cholecystectomy (LC) and open Cholecystectomy (OC) were randomized divided into two groups, 32 in LC group and 37 in OC group. Recovery and complications after the surgery were observed. Results] Good result was found in injury, pain recovery and lower complication rate. There was a significant difference between the two groups (P <0.001 or P <0.05) by comparison of the operative time, hemorrhage, painful index and recovery of intestinal function. Conclusions] It is shown that LC is a more effective treatment than OC for patients with cholecystitis.