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目的探讨老年急性胆量炎腹腔镜手术治疗时机和预后。方法分析96例老年急性胆囊炎患者的临床资料,腹腔镜早期手术组50例(A组),于发病72 h以内手术;晚期手术组46例(B组),发病72 h以后手术,均采用腹腔镜手术治疗。结果大于72 h手术组平均手术时间、中转开腹率、平均住院日均高于A组,术后并发症发生率两组比较无统计学差异。结论老年急性胆囊炎人的病情进展快,治疗难度大,风险高,早期采取腹腔镜手术治疗可明显缩短手术和住院时间。
Objective To investigate the timing and prognosis of laparoscopic surgery for senile acute gout. Methods The clinical data of 96 cases of elderly patients with acute cholecystitis were analyzed. 50 patients (group A) underwent laparoscopic early surgery and operated within 72 h after the onset of disease. 46 patients (group B) underwent advanced surgery and were operated after 72 h Laparoscopic surgery. Results The average operative time, the rate of laparotomy and the average length of stay in the operation group which were over 72 hours were higher than that of the A group. There was no significant difference in the incidence of postoperative complications between the two groups. Conclusions Elderly patients with acute cholecystitis progressed rapidly and were difficult to treat and at high risk. Early laparoscopic surgery can shorten the operation and hospitalization time.