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目的 为了更好地诊治老年人的胆囊疾病。方法 对 731例体检发现的老年期和老年前期胆囊疾病患者进行了为期 6年的随访 ,观察其症状、并发症及手术情况。结果 老年期胆囊结石的患病率明显高于老年前期 ,在 60～ 69岁组为 2 0 2 % ,70～ 79岁组为 32 9% ,80岁及以上组为 48 0 % ;而在老年前期为 9 5%。胆囊息肉则与年龄关系不如胆囊结石明显。 70 0 %的胆囊疾病患者无症状 ,典型发作随增龄而减少 ;胆囊疾病合并冠心病在老年期随增龄而增加 ,部分病人胆囊切除后心脏症状缓解。结论 老年人胆囊疾病症状多样 ,与心脏疾病关系密切 ,应该密切随访 ,适时手术。
The purpose is to better diagnose and treat elderly gallbladder disease. Methods A total of 731 elderly patients with senile gallbladder disease were followed up for 6 years. The symptoms, complications and operation were observed. Results The prevalence of gallstone in senile patients was significantly higher than that in pre-senile patients, with 202% in 60-69 years old group, 32.9% in 70-79 years old group and 48 0% in 80- and 80-years old group. In the elderly The previous period was 95%. Gallbladder polyps are not as good as age gallbladder stones. 70% of patients with gallbladder disease asymptomatic, the typical attack decreases with age; gallbladder disease with coronary heart disease in old age increased with age, some patients after elective cholecystectomy to alleviate the heart symptoms. Conclusion The symptoms of gallbladder disease in the elderly are diverse and closely related to heart disease. They should be closely followed up and timely surgery should be performed.