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目的:了解西宁地区老年性胆道疾病的发病特点和临床表现,探讨其治疗方法。方法:总结2004年1月至2007年11月我院收治60岁以上老年胆道疾病。结果:82例中男38例,女44例,胆囊炎胆囊结石61例,重症急性胆管炎16例,胆管癌5例。微创治疗42例:治疗采用B超CT定位胆囊、胆管穿刺引流,EST(内镜下乳头切开术),LC(腹腔镜胆囊切除),死亡1例。手术治疗40例:均采用传统开腹手术,死亡4例,结论:西宁地区老年胆道疾病选用微创治疗可以降低术后并发症及死亡率。
Objective: To understand the incidence of clinical features and clinical manifestations of senile biliary tract diseases in Xining, discuss its treatment. Methods: From January 2004 to November 2007, our hospital admitted elderly patients with biliary tract disease over the age of 60. Results: There were 38 males and 44 females in 82 cases, 61 cases of cholecystitis gallbladder stones, 16 cases of severe acute cholangitis and 5 cases of cholangiocarcinoma. Forty-two patients underwent minimally invasive treatment: one case was treated with B-CT, gallbladder drainage, EST (endoscopic papillary incision) and LC (laparoscopic cholecystectomy). Surgical treatment of 40 cases: the use of traditional laparotomy, died in 4 cases, Conclusion: Xining elderly use of minimally invasive treatment of biliary tract disease can reduce postoperative complications and mortality.