摘要
目的观察对比老年胆囊结石采用腹腔镜胆囊切除术与小切口胆囊切除术的临床效果,以指导临床选择应用。方法选择在我院确诊并进行手术治疗的老年胆囊结石患者116例,按手术方法不同随机分为腹腔镜组58例和小切口组58例,对比分析两组的手术时间、住院时间、住院费用、切口长度、术中出血量、手术并发症等情况。结果在手术时间、住院时间、切口长度、术中出血量、手术并发症方面,腹腔镜组明显优于小切口组(P<0.05);小切口组住院费用明显少于腹腔镜组(P<0.05)。结论腹腔镜胆囊切除术对于老年胆囊结石具有更好的临床效果,但其费用较为昂贵,临床上应视患者具体情况加以选择。
Objective To observe and contrast the clinical effects of LC and MC for treatment of cholecystolithiasis of the aged to guide clinical chose and application. Methods A total of 116 cases of aged patients with cholecystolithiasis who were diagnosed in our hospital and treated with surgery were randomly divided into LC group and MC group both with 58 cases according to different approaches of surgery. Operation time, hospital stays, hospitalization expenses, length of incision, bleeding amount, complications of both groups were contrasted and analyzed. Results On operation time, hospital stays, length of incision, bleeding amount and complications, LC group was obviously superior to MC group （P 〈 0.05）; on hospitalization expenses, MC group was obviously superior to LC group （P 〈 0.05）. Conclusion Comprehensively, LC for treatment of eholecystolithiasis of the aged has a better clinical effect than MC, but it has a higher treatment cost, so it depends on the patients＇ specific situations to choose which method to take.
出处
《中国现代医生》
2013年第3期144-145,共2页
China Modern Doctor
