腹腔镜胆囊切除术与开腹手术在老年急性胆囊炎患者中的应用比较

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare and analysis the effect of laparoscopic cholecystectomy and open surgery on the length of stay and complications in senile patients with acute cholecystitis. Methods A total of 58 senile patients with acute cholecystitis who were treated in our hospital from July 2017 to June 2019 were divided into observation group(n=40) and control group (n=18) according to random number table method.Observation group was treated with laparoscopic cholecystectomy, and control group was treated with open surgery.The inflammatory factors before and after surgery, postoperative surgical indexes and complications were compared between two groups. Results After surgery,the level of C-reactive protein (CRP) in observation group was lower than that in the control group, the difference was statistically significant (P＜0.05).The recovery time of gastrointestinal function, hospital stays, operation time, postoperative recovery time of bowel sound in observation group were shorter than those in control group, with statistically significant differences (P＜0.05).The total incidence of postoperative complications in observation group was lower than that in control group, the difference was statistically significant (P＜0.05). Conclusion Compared with conventional open surgery, laparoscopic cholecystectomy can decrease the levels of inflammatory factors, shorten postoperative recovery time, reduce complications, and improve curative effects.

Key words： Senile patients with acute cholecystitis Laparoscopic cholecystectomy Open surgery Inflammatory factors Safety

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	FANG Chang-wen
	LAN Jiang
	ZHAN Wei-lin

Cite this article:

FANG Chang-wen,LAN Jiang,ZHAN Wei-lin. Application comparison of laparoscopic cholecystectomy and open surgery in senile patients with acute cholecystitis[J]. 中国当代医药, 2020, 27(15): 90-92转96.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I15/90

[1]	陈禄凑，徐栋，庞心念，等.经皮经肝胆囊穿刺引流术用于基层医院老年危重急性胆囊炎患者的疗效分析[J].浙江医学，2019，41（11）：1211-1212.
[2]	吴团结，赵洁，戴途.不同手术时机腹腔镜胆囊切除对老年急性胆囊炎患者术后疗效和康复的影响[J].中华普外科手术学杂志，2019，13（1）：57-60.
[3]	姚皓，徐文嫔，李恒力，等.腹腔镜胆囊切除术与传统胆囊切除术治疗急性胆囊炎患者临床对照研究[J].临床军医杂志，2019，47（2）：205-206.
[4]	王蔚文.临床疾病诊断与疗效判断标准[M].北京：科学技术文献出版社，2010：548.
[5]	李义.经皮肝胆囊穿刺置管引流术对老年急性胆囊炎患者IL-2、IL-4、IL-6 水平与胃肠功能的影响[J].中国老年学杂志，2017，37（5）：1189-1190.
[6]	陈红兵，李健，李学远，等.超声引导下经皮经肝胆囊穿刺引流术治疗老年急性重症胆囊炎106 例[J].中国现代普通外科进展，2018，21（2）：129-131.
[7]	雷衍军，肖彦，潘小季，等.超声引导经皮经肝胆囊穿刺置管引流术治疗危重老年急性胆囊炎疗效分析[J].医学临床研究，2018，35（8）：1480-1482.
[8]	牟泳霖，张筠，曹军英，等.PTGD 治疗老年急性胆囊炎105 例[J].中国现代手术学杂志，2017，21（6）：416-418.
[9]	黄安华，谢华辉，周明雄，等.腹腔镜胆囊切除术治疗老年急性胆囊炎患者的临床效果及对免疫功能的影响[J].实用临床医药杂志，2017，21（11）：202-204.
[10]	董峰，胡季明，李秀琪.老年急性胆囊炎行腹腔镜胆囊切除与PTGD 序贯微创治疗125 例[J].中国现代普通外科进展，2016，19（11）：874-876.
[11]	许良，许明友，杨先芬.老年急性胆囊炎开腹胆囊切除与腹腔镜胆囊切除术的治疗效果对比及对患者肠道功能影响分析[J].安徽医药，2018，22（4）：721-724.
[12]	李冰震，王理富，马柏强，等.老年急性胆囊炎患者腹腔镜术后胃肠功能恢复、炎症因子和应激反应的变化[J].中国老年学杂志，2018，38（13）：3158-3160.
[13]	陈亮.经皮胆囊穿刺引流联合腹腔镜胆囊切除术治疗老年人急性胆囊炎的临床效果研究[J].中国基层医药，2018，25（24）：3222-3224.
[14]	李志国.腹腔镜胆囊切除术治疗老年急性胆囊炎的临床研究[J].中国医药导刊，2017，19（1）：55-56.
[15]	张丹，郑湘，袁庆功.腹腔镜胆囊切除术对老年急性胆囊炎患者胃肠功能和免疫功能的影响[J].现代消化及介入诊疗，2017，22（6）：824-826.