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目的:探讨高龄急性化脓性胆囊炎合理有效的手术方法,给予临床治疗提供参考依据。方法:回顾性分析2013年5月~2015年5月于我院接受治疗的高龄急性化脓性胆囊炎患者资料共90份,依据手术方法的不同将患者分为观察组与对照组,每组各45例,其中对照组患者行常规开腹胆囊切除术治疗,观察组患者行腹腔镜下胆囊切除术治疗,对比两组患者在术中与术后的各项统计指标。结果:观察组45例患者在接受上述治疗后,术中出血量与术后引流量明显低于对照组患者,并且在手术时间、下床时间以及住院时间的统计对比中,对比结果均明显优于对照组,组间差异明显且具有统计学意义(P<0.05)。结论:临床上在治疗高领急性化脓性胆囊炎时,可以采用腹腔镜下胆囊切除术进行治疗,能够显著降低患者的术中出血量与术后引流量,缩短患者的手术时间、下床时间、住院时间,取得了十分满意的治疗效果,应当在临床上大力推广。
Objective: To investigate the reasonable and effective surgical methods for senile acute suppurative cholecystitis and to provide reference for clinical treatment. Methods: A total of 90 patients with senile acute suppurative cholecystitis receiving treatment in our hospital from May 2013 to May 2015 were retrospectively analyzed. Patients were divided into observation group and control group according to different surgical methods 45 cases, in which the control group of patients underwent conventional open cholecystectomy, the observation group underwent laparoscopic cholecystectomy, comparing the two groups of patients in the postoperative and postoperative statistical indicators. Results: In the observation group of 45 patients receiving the above treatment, the amount of bleeding and postoperative drainage was significantly lower than that of the control group, and in the operation time, bed time and hospital stay in the statistical comparison, the results were significantly better In the control group, the difference between the groups was significant and statistically significant (P <0.05). Conclusion: In clinical treatment of high-necked acute suppurative cholecystitis, laparoscopic cholecystectomy can be used for treatment, which can significantly reduce the patient’s intraoperative blood loss and postoperative drainage, shorten the operation time of patients, out of bed time , Hospitalization time, made a very satisfactory treatment effect, should be vigorously promoted in the clinic.