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目的:为老年急性胆囊炎手术治疗提供科学依据。方法:以108例老年急性胆囊炎手术治疗患者为研究对象,通过对患者采用针对性治疗与观察,采用回顾性方法研究分析手术临床资料。结果:本组108例患者均于入院12～72h内手术,均获得急性胆囊炎手术治疗的成功,手术时间48～150min,平均时间(76.3±7.4)min,术中出血90～250mL,平均出血(142.6±10.1)mL,腹腔引流管在引流量低于12mL/d,并经复查B超无腹腔积液后拔除,术后住院天数3～12d,平均(10.1±3.4)d,术后出现切口感染2例,经加强换药后好转,保守治疗,充分引流后好转,无严重并发症出现。随访3～12个月,本组无死亡病例出现。结论:老年急性胆囊炎手术治疗是具有一定困难和风险的,只有熟练掌握胆囊腹腔镜手术治疗方法和相关技能,才能取得较好的手术效果。
Objective: To provide a scientific basis for the surgical treatment of senile acute cholecystitis. Methods: A total of 108 cases of elderly patients with acute cholecystitis were treated by targeted therapy and observation. The clinical data of the surgery were analyzed retrospectively. Results: All the 108 patients were operated within 12 to 72 hours after admission, and all were successful in the surgical treatment of acute cholecystitis. The operation time was 48 to 150 minutes (mean, 76.3 ± 7.4) min, blood loss was 90 to 250 mL, mean bleeding (142.6 ± 10.1) mL. The peritoneal drainage tube was drained at a rate of less than 12 mL / d, and was removed after recheck without ultrasonography. The postoperative hospital stay was 3 ~ 12 days, with an average of (10.1 ± 3.4) days. Incision infection in 2 cases, improved after dressing improved, conservative treatment, full drainage improved, no serious complications. Followed up for 3 to 12 months, no deaths occurred in this group. Conclusion: Surgical treatment of senile acute cholecystitis is difficult and risky. Only by mastering laparoscopic gallbladder surgery and related skills can we get better operative results.