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[目的]分析比较老年急性胆囊炎用腹腔镜和开腹手术治疗的疗效。[方法]回顾性分析60例老年急性胆囊炎用腹腔镜技术治疗的临床资料,并与同期60例老年急性胆囊炎开腹手术进行比较。[结果]腹腔镜组与开腹组比较差异有统计学意义(P﹤0.01),老年急性胆囊炎患者用腹腔镜技术完成手术,手术时间短(45.3±11.8)min,术中出血量少(13.4±11.1)ml,术后(9.2±4.5)h可以下床活动,住院时间短为(4.4±1.5)d。[结论]腹腔镜用于老年急性胆囊炎胆囊切除术具有操作简单、安全、切口小、痛苦小、出血量少,手术、住院时间短的特点,是治疗老年急性胆囊炎的最佳方式。
[Objective] To analyze and compare the efficacy of laparoscopic and open surgery in the treatment of acute cholecystitis in the elderly. [Methods] The clinical data of 60 elderly patients with acute cholecystitis treated by laparoscopy were retrospectively analyzed and compared with 60 elderly patients with acute cholecystitis undergoing laparotomy. [Results] There was significant difference between laparoscopic group and open group (P <0.01). Laparoscopic surgery was performed in elderly patients with acute cholecystitis. The operation time was short (45.3 ± 11.8) min and the amount of bleeding during operation was less 13.4 ± 11.1) ml. The patients were able to get out of bed after operation (9.2 ± 4.5) h, and the length of hospital stay was (4.4 ± 1.5) days. [Conclusion] Laparoscopic cholecystectomy for elderly patients with acute cholecystitis has the characteristics of simple operation, safety, small incision, little pain, less blood loss, shorter operation and hospital stay. It is the best way to treat acute cholecystitis in the elderly.