摘要
目的探讨70岁以上老年人胆石症的临床特点及手术治疗方法。方法单纯胆囊切除72例,胆囊切开取石加造瘘2例,胆囊切除加胆总管探查加T管引流27例,胆总管空肠Roux-Y吻合1例。结果102例病人中,并发切口感染3例,胆泻1例;2例造瘘术后3个月再次手术治愈。并发症发生率为3·9%,治愈101例,死亡1例。结论老年人胆石症的外科治疗必须针对老年人胆道疾病的特点,选择合适的时机,精心做好围手术期处理,采取得当的术式,才能做到治愈率高,并发症少。
Objective To discuss the clinical characteristics of cholelithiasis in the patients older than 70 years of age and their surgical treatment. Methods Simple cholecystotomy was performed in 72 patients. Also, two patients were operated with cholecyst incision and lithotomy plus fistulization, and 27 patients accepted cholecystotomy and exploration in the common bile ducts plus the placement of T-shaped drainage tubes. Roux-Y anastomosis between common bile duct and jejunum was done in one patients. Resuits Among the 102 patitnes, there were three complicated with incision infection and one with diarrhea. The two patients with fistulization were performed the operation for the second time three months later, and then were healed up. The rate of the complications accounted for 3.9%. In the end, 101 patients were healed up. Only one died. Conclusion The surgical treatment for the cholelithiasis of the elderly should be based on the whole recognition of the characteristics of their biliary tract diseases. To select appropriate chance, prepare for the treatment during perioperation and apply right operative way, are the key to the success in order that the complications are decreased.
出处
《临床军医杂志》
CAS
2005年第4期450-451,共2页
Clinical Journal of Medical Officers
关键词
老年人
胆石症
外科治疗
elderly
cholelithiasis
surgical operation
