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目的比较腹腔镜术与开腹术治疗老年急性胆囊炎的临床疗效。方法回顾性分析我院的342例老年急性胆囊炎患者的临床资料。其中观察组(腹腔镜组)186例,对照组(开腹组)156例,比较两组术中与术后等情况。结果 342例患者手术均成功,观察组与对照组相比,手术及住院时间、术中出血量及并发症等比较差异有统计学意义(P<0.05)。结论腹腔镜治疗老年急性胆囊炎与开腹术相比,具有手术及住院时间短、术中出血量及并发症少等优点。
Objective To compare the clinical effects of laparoscopy and laparotomy in the treatment of senile acute cholecystitis. Methods The clinical data of 342 elderly patients with acute cholecystitis in our hospital were retrospectively analyzed. 186 cases in the observation group (laparoscopic group) and 156 cases in the control group (laparotomy group). The intraoperative and postoperative conditions of the two groups were compared. Results All 342 patients were operated successfully. There were significant differences in operation and hospitalization time, intraoperative blood loss and complications between observation group and control group (P <0.05). Conclusion Laparoscopic treatment of elderly patients with acute cholecystitis compared with open surgery, with shorter operation and hospitalization, intraoperative blood loss and fewer complications.