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目的:探讨老年急性坏疽性胆囊炎合并结石的手术治疗效果。方法:选取合并结石的老年急性坏疽性胆囊炎患者130例,随机分为两组,对照组59例,观察组71例,具有可比性。对照组给予保守治疗;观察组给予手术治疗。对两组患者治疗前后右上腹疼痛发作次数及持续时间进行比较。结果:经过治疗,观察组右上腹疼痛发作次数及持续时间为(0.41±0.17)次/d和(1.16±0.42)min,对照组分别为(1.71±0.86)次/d和(5.37±1.17)min。与治疗前相比,两组均有明显改善,但观察组改善更为明显。上述比较差异明显,有统计学意义(P<0.05)。结论:对合并结石的老年急性坏举行胆囊炎患者实施手术治疗,效果确切,可以有效缓解疼痛,改善患者的生活质量。
Objective: To investigate the surgical treatment of senile acute gangrenous cholecystitis with stones. Methods: A total of 130 senile acute gangrenous cholecystitis patients were selected and randomly divided into two groups: control group (n = 59) and observation group (n = 71), which were comparable. The control group received conservative treatment; the observation group was given surgical treatment. The frequency and duration of right upper quadrant pain episode before and after treatment were compared between the two groups. Results: After treatment, the frequency and duration of right upper quadrant pain episode in the observation group were (0.41 ± 0.17) / d and (1.16 ± 0.42) min, respectively, and were 1.71 ± 0.86 and 5.37 ± 1.17 in the control group respectively min. Compared with before treatment, both groups have significantly improved, but the observation group improved more obviously. The above differences were significant and statistically significant (P <0.05). Conclusion: Surgical treatment of acute cholecystitis in elderly patients with acute calculi is effective and can effectively relieve pain and improve the quality of life of patients.