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1、腹腔镜胆囊切除术与小切11胆囊切除术治疗老年胆囊结石治疗效果［摘要］冃的比较腹腔镜胆囊切除术与小切口胆囊切除术治疗老年胆囊结石的疗效。方法选取2012年1月〜2014年1月收治的80例老年胆囊结石患者作为研究对象，均经B超、CT等检查确诊，年龄均为60岁及以上患者，排除合并其他系统严重疾病者及药物过敏史者。全部患者根据治疗方法不同分为腹腔镜组（LC组）和小切口组（MC组），每组40例，比较1）两组患者的手术时间、术中出血量及术后排气时间。2）两组并发症情况：包括腹腔内出血、胆漏、肠粘连、切口感染。结果LC组患者的手术时间显著短于MC组，LC组的术中出血量显著少于M
2、C组,LC组的术后排气时间显著快于MC组，组间比较，差异有统计学意义（Pv0・05）。LC组1例患者术后岀现腹腔内出血，可能与手术中操作失误造成；MC组术后2例出现腹腔内出血、1例出现胆漏、1例出现感染，两组并发症经对症治疗后均痊愈。LC组术后并发症的发生率显著低于MC组，组间比较,差异有统计学意义（P<0.05）o结论腹腔镜胆囊切除术较小切口胆囊切除术治疗老年胆囊结石更具有优势，值得临床广泛推广和应用。［关键词］老年胆囊结石；腹腔镜胆囊切除术；小切口胆囊切除术［中图分类号］R657.4［文献标识码］B［文章编号］1673-9701（2015）04-0036-03
3、[Abstract]ObjectiveTocomparetheeffectoflaparoscopiccholecystectomyandsmallincisioncholecystectomyintreatmentofsenilecholecystolithiasis.MethodsEightycasesofelderlypatientswithgallbladderstonesfromJanuary2012toJanuary2014wereselectedasresearchobject,allthroughBultrasound,CTexaminationc
4、onfirmed,allpatientsagedabove60yearsandwithseveredisease,theexclusionofothersystemandhistoryofdmgallergy.Allthepatientswereundertreatmentweredividedintolaparoscopicgroup(groupLC)andsmallincisiongroup(MCgroup),40casesineachgroup,compared1)Exhausttimeandpostoperativebleedingvolume,opera
5、tiontimeoftwogroupsofpatientsinoperation.2)Twogroupsofcomplications:includedintraperitonealhemorrhage,biliaryleakage,intestinaladhesion,infectionofincision.ResultsTheoperationtimeofLCgroupweresignificantlyshorterthantheMCgroup,amountofbleedingduringoperationofLCgroupwassignificantlylo
6、werthanthatinMCgroup,postoperativeexhausttimeofLCgroupwassignificantlyfasterthanthatofMCgroup,thedifferencewassignificantbetweentwogroups(P<0.05).LCgroupof1patientwithpostoperativeabdominalbleeding,eri'orscausedbypossiblewithsurgeryoperation；MCgroupoccurredin2casesofintra-abdominalhem
7、orrhage,1caseofbileleakage,1caseofinfection,twogroupsofcomplicationswerecuredaftersymptomatictreatment.TheincidenceofpostoperativecomplicationsinLCgroupwassignificantlylowerthanthatofMCgroup,thedifferencewassignificantbetweentwogroups(P<0.05)・ConclusionResectionforelderlypatientswithg
8、allbl
