摘要
目的：比较老年胆囊结石患者行腹腔镜胆囊切除术（ＬＣ）和开腹胆囊切除术（ＯＣ）的手术效果。方法：对１２７例患者随机分为ＬＣ组和ＯＣ组，观察两组病人围手术期并发症。外围血白细胞计数、白蛋白及血氧分压。结果：ＬＣ组并发症及白细胞计数明显低于对照组。ＬＣ组白蛋白及血氧分压明显高于对照组。结论：推荐老年胆囊结石患者可以有选择性的应用ＬＣ。
Objective:To compare the surgical effectiveness of laparoscopic cholecystectomy(LC)and open cholecystectomy(OC) for elder patients with cholelithiasis.Methods:127 cases were randomly divided into two groups:LC group of 62 patients and OC group of 65 patients. Their intraoperative complications, white blood cell count, album, partial pressure of oxygen(P O 2 ) were observed and compared.Results:White blood cell count and complications were much less in LC group than in OC group. Album and P O 2 were clearly higher in LC group.Conclusion:LC has an advantage over OC,so it is advisable that LC could be an alternative therapy for the elderly with cholelithiasis.
出处
《郧阳医学院学报》
1998年第1期37-38,57,共3页
Journal of Yunyang Medical College
关键词
围术期
胆囊切除术
腹腔镜
开腹胆囊切除
老年人
laparoscopic cholecystectomy
open cholecystectomy
intraoperative period
aged
