| 摘要: |
| ［摘要］ 目的 观察经皮经肝胆囊穿刺造瘘术治疗老年重症结石性胆囊炎的效果。方法 选择该院2015-07～2016-07收治的84例老年重症结石性胆囊炎患者作为研究对象，按随机数字表法分为观察组和对照组各42例。对照组行腹腔镜下胆囊切除术，观察组行经皮经肝胆囊穿刺造瘘术。比较两组患者术中、术后临床情况及并发症发生情况。结果 与对照组相比，观察组手术时间、住院时间及体温、白细胞、凝血功能恢复正常时间及休克纠正时间均显著缩短，差异有统计学意义（P<0.01）；对照组术后并发症发生率高于观察组，差异有统计学意义（P<0.01）。结论 与腹腔镜下胆囊切除术相比，经皮经肝胆囊穿刺造瘘术治疗老年重症结石性胆囊炎的临床应用价值更高，可改善患者的临床症状，缩短手术时间及患者术后恢复时间，减少并发症的发生，安全性高，值得临床推广应用。 |
| 关键词: 经皮经肝胆囊穿刺造瘘术 胆囊切除术 腹腔镜 结石性胆囊炎 |
| DOI：10.3969/j.issn.1674-3806.2018.05.20 |
| 分类号:R 657.4 |
| 基金项目: |
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| Clinical effect of percutaneous via hepatic gallbladder puncture colostomy on elderly patients with severe calculous cholecystitis |
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GAO Yang, HUANG Xin-li, XING Hua-wei
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Department of General Surgery, the People′s Hospital of Suiping County in Zhumadian City, Henan 463100, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the clinical effect of percutaneous via hepatic gallbladder puncture colostomy on elderly patients with severe calculous cholecystitis.Methods 84 elderly patients with severe calculous cholecystitis were collected in our hospital from July 2015 to July 2016 and were randomly divided into the observation group(n=42) and the control group(n=42). The control group received laparoscopic cholecystectomy,and the observation group was treated with percutaneous via hepatic gallbladder puncture colostomy. The intraoperative and postoperative clinical data and complications were compared between the two groups. Results Compared with those in the control group, the operation time,the length of hospital stay and time of body temperature recovery, white blood cells and blood coagulation function recovering to the normal levels, and the time of shock disappearing in the observation group were significantly shorter(P<0.01). The postoperative complication rate of the control group was higher than that of the observation group(P<0.01).Conclusion Percutaneous via hepatic gallbladder puncture colostomy is better than laparoscopic cholecystectomy in treatment for the elderly patients with severe calculous cholecystitis. |
| Key words: Percutaneous via hepatic gallbladder puncture colostomy Cholecystectomy Laparoscope Calculous cholecystitis |
