腹腔镜手术治疗老年胆结石的效果及对患者生活质量的影响
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摘要
目的观察腹腔镜手术治疗老年胆结石的效果及对患者生活质量的影响。方法选取2017年6月至2018年5月本院收治的胆结石老年患者62例,平均分为对照组(传统手术治疗)和观察组(腹腔镜手术治疗),对两组患者手术各项指标以及临床效果进行比较。结果观察组术中出血量、手术操作时间、切口长度、住院时间[(27.1±0.7)mL、(40.1±1.6)min、(3.3±0.5)cm、(3.6±1.2)d]均少于对照组[(40.2±0.8)mL、(89.2±2.5)min、(6.3±1.6)cm、(6.1±0.7)d,P <0.05];观察组术后生活质量评分(89.2±1.6),显著优于对照组[(70.2±1.4)分,P <0.05];观察组有效率为93.55%显著高于对照组(77.42%,P <0.05)。结论对老年胆结石运用腹腔镜手术可以降低并发症发生率,缩短手术时间,减少术中出血。
Objective To observe the effect of laparoscopic surgery on elderly patients with cholelithiasis and its effect on the quality of life. Methods Sixty-two elderly patients with gallstones from June 2017 to May 2018 were divided into control group(traditional surgery)and observation group(laparoscopic surgery).The operation indexes and clinical effects of the two groups were compared. Results The amount of bleeding,operation time,incision length,length of hospital stay [(27.1±0.7)mL,(40.1±1.6)min,(3.3±0.5)cm,(3.6±1.2)d] in the observation group were less than those in the control group [(40.2±0.8)mL,(89.2±2.5)min,(6.3±1.6)cm,(6.1±0.7)d,P<0.05]. The quality of life of the observation group was better than that of the control group(89.2±1.6 vs. 70.2±1.4 score,P<0.05). The effective rate of the observation group 93.55%was higher than that of the control group(77.42%,P<0.05). Conclusion Laparoscopic cholelithiasis in the elderly can reduce the incidence of complications,shorten the operation time and reduce intraoperative bleeding.
Objective To observe the effect of laparoscopic surgery on elderly patients with cholelithiasis and its effect on the quality of life. Methods Sixty-two elderly patients with gallstones from June 2017 to May 2018 were divided into control group(traditional surgery)and observation group(laparoscopic surgery).The operation indexes and clinical effects of the two groups were compared. Results The amount of bleeding,operation time,incision length,length of hospital stay [(27.1±0.7)mL,(40.1±1.6)min,(3.3±0.5)cm,(3.6±1.2)d] in the observation group were less than those in the control group [(40.2±0.8)mL,(89.2±2.5)min,(6.3±1.6)cm,(6.1±0.7)d,P<0.05]. The quality of life of the observation group was better than that of the control group(89.2±1.6 vs. 70.2±1.4 score,P<0.05). The effective rate of the observation group 93.55%was higher than that of the control group(77.42%,P<0.05). Conclusion Laparoscopic cholelithiasis in the elderly can reduce the incidence of complications,shorten the operation time and reduce intraoperative bleeding.
引文
[1]马东峰.腹腔镜手术治疗老年胆结石患者疗效观察[J].今日健康.2015,14(12):102.
[2]姜宁宁,张丹.腹腔镜手术对于老年胆结石患者并发症发生率的影响[J].心理医生,2018,24(13):22-23.
[3]刘勇.腹腔镜用于老年胆结石治疗的临床疗效体会[J].中国保健营养,2017,27(33):130-131.
[4]张英杰,王勇.应用腹腔镜手术治疗高龄胆结石患者临床疗效探讨[J].中国现代医生,2014,52(2):129-131.
[5]汪勇刚,张宝华,姚嗣会,等.老年胆结石患者手术的临床疗效分析[J].中国保健营养,2015,25(15):43-44.
[6]林珺珺,李启信,卢业才.腹腔镜手术对高龄胆结石患者临床疗效及生存质量的影响研究[J].齐齐哈尔医学院学报,2015,36(5):660-661.
[7]许勇.腹腔镜手术治疗老年胆囊炎胆结石症的效果观察[J].临床合理用药杂志,2013,6(13):35-36.
[8]乔桐杉,王满仓.微创保胆取石术与腹腔镜胆囊切除术治疗胆结石的手术效果及对生活质量的影响[J].中国实用医药,2016,11(31):47-48.
[2]姜宁宁,张丹.腹腔镜手术对于老年胆结石患者并发症发生率的影响[J].心理医生,2018,24(13):22-23.
[3]刘勇.腹腔镜用于老年胆结石治疗的临床疗效体会[J].中国保健营养,2017,27(33):130-131.
[4]张英杰,王勇.应用腹腔镜手术治疗高龄胆结石患者临床疗效探讨[J].中国现代医生,2014,52(2):129-131.
[5]汪勇刚,张宝华,姚嗣会,等.老年胆结石患者手术的临床疗效分析[J].中国保健营养,2015,25(15):43-44.
[6]林珺珺,李启信,卢业才.腹腔镜手术对高龄胆结石患者临床疗效及生存质量的影响研究[J].齐齐哈尔医学院学报,2015,36(5):660-661.
[7]许勇.腹腔镜手术治疗老年胆囊炎胆结石症的效果观察[J].临床合理用药杂志,2013,6(13):35-36.
[8]乔桐杉,王满仓.微创保胆取石术与腹腔镜胆囊切除术治疗胆结石的手术效果及对生活质量的影响[J].中国实用医药,2016,11(31):47-48.