| 两种手术方法治疗老年人胆囊结石的疗效比较 |
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| 引用本文： | 方骏,江燕.两种手术方法治疗老年人胆囊结石的疗效比较[J].现代中西医结合杂志,2011,20(15):1835-1836. |
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| 作者姓名： | 方骏 江燕 |
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| 作者单位： | 1. 安徽医科大学第一附属医院,安徽,合肥,230022
2. 安徽中医学院护理学院,安徽,合肥,230022 |
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| 摘 要： | 目的对比腹腔镜胆囊切除术和开腹胆囊切除术治疗老年人胆囊结石的安全性和可行性。方法分别采用腹腔镜胆囊切除术和开腹胆囊切除术治疗胆囊结石患者145例,比较2组手术成功率及术中出血量、手术时间、术后镇痛情况、肛门排气时间、住院时间和并发症情况。结果 2组患者均顺利完成手术,完整取出胆囊,术中未发生意外,无死亡病例;术中取石1~5枚,最大直径2.5 cm。2组手术成功率均100%。2组术中出血量、手术时间、肛门排气时间、止痛药物应用率、住院时间、术后并发症发生率比较有显著性差异(P<0.05)。结论采用腹腔镜胆囊切除术治疗胆囊结石比开腹胆囊切除术更安全、方便,且具有切口小、创伤少、术中出血少、伤口疼痛轻、住院时间短、并发症少、对机体影响小、术后康复快等优点。
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| 关 键 词： | 胆囊结石 腹腔镜胆囊切除术 开腹胆囊切除术 老年人 |
Curative effect comparison of two operation methods for treatment of elderly gallstones |
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| Fang Jun,Jiang Yan.Curative effect comparison of two operation methods for treatment of elderly gallstones[J].Modern Journal of Integrated Chinese Traditional and Western Medicine,2011,20(15):1835-1836. |
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| Authors: | Fang Jun Jiang Yan |
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| Institution: | Fang Jun1,Jiang Yan2(1.The First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China,2.Anhui Chinese Medicine College,China) |
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| Abstract: | Objective It is to compare the safety and feasibility of laparoscopic cholecystectomy and open cholecystectomy treatment on elderly gallstones.Methods 145 elderly patients with gallstone were treated by laparoscopic cholecystectomy and open cholecystectomy apartly.The success rate of operation,amout of bleeding,operation time,postoperative pain,anal exhaust time,hospital stay and complications in both groups were compared.Results All operations were completed successfully,stones were completely removed from... |
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| Keywords: | cholelithiasis laparoscopic cholecystectomy open cholecystectomy elderly |
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