[1]张德龙,孙昱慧,薛金晶.延迟腹腔镜胆囊切除术对老年结石性胆囊炎患者围术期指标及预后生存质量的影响[J].医学信息,2022,35(13):159-161.[doi:10.3969/j.issn.1006-1959.2022.13.039]
　ZHANG De-long,SUN Yu-hui,XUE Jin-jing.Effect of Delayed Laparoscopic Cholecystectomy on Perioperative Indexes and Prognosis Quality of Life in Elderly Patients with Calculous Cholecystitis[J].Medical Information,2022,35(13):159-161.[doi:10.3969/j.issn.1006-1959.2022.13.039]
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延迟腹腔镜胆囊切除术对老年结石性胆囊炎患者围术期指标及预后生存质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年13期
页码:
159-161
栏目:
临床研究
出版日期:
2022-07-01

文章信息/Info

Title:
Effect of Delayed Laparoscopic Cholecystectomy on Perioperative Indexes and Prognosis Quality of Life in Elderly Patients with Calculous Cholecystitis
文章编号:
1006-1959（2022）13-0159-03
作者:
张德龙; 孙昱慧; 薛金晶
（1.沈阳市第六人民医院外四科，辽宁 沈阳 110000；2.北部战区总医院和平院区产二科，辽宁 沈阳 110000）
Author(s):
ZHANG De-long; SUN Yu-hui; XUE Jin-jing
(1.The Fourth Department of Surgery,Shenyang Sixth People’s Hospital,Shenyang 110000,Liaoning,China;2.The Second Department of Obstetrics,Heping Campus,General Hospital of Northern Theater Command,Shenyang 110000,Liaoning,China)
关键词:
结石性胆囊炎; 老年患者; 延迟腹腔镜胆囊切除术; 早期腹腔镜胆囊切除术; 围术期指标
Keywords:
Calculous cholecystitis; Elderly patients; Delayed laparoscopic cholecystectomy; Early laparoscopic cholecystectomy; Perioperative indicators
分类号:
R657.4+1
DOI:
10.3969/j.issn.1006-1959.2022.13.039
文献标志码:
A
摘要:
目的 研究延迟腹腔镜胆囊切除术对老年结石性胆囊炎患者围术期指标及预后生存质量的影响。方法 回顾性选取2016年1月-2019年3月沈阳市第六人民医院普外科及北部战区总医院收治的60例老年急性结石性胆囊炎（ACC）患者，依据治疗方案不同分为对照组与观察组。将行早期腹腔镜胆囊切除术（ELC）治疗患者30例设为对照组，将延迟腹腔镜胆囊切除术（DLC）治疗的患者30例设为观察组。比较两组围术期指标（手术时间、术中出血量、术后引流时间）、中转开腹率、术后并发症发生率、白细胞（WBC）、C-反应蛋白（CRP）、中性粒细胞百分比（NEU%）、预后生存质量及病死率。结果 观察组手术时间、术后引流时间均短于对照组，且术中出血量少于对照组（P＜0.05）；观察组的中转开腹率及术后并发症发生率均小于对照组（P＜0.05）；两组NEU%、CRP、WBC均低于术前（P＜0.05），但组间比较，差异无统计学意义（P＞0.05）；两组预后优良率、病死率比较，差异无统计学意义（P＞0.05）。结论 DLC治疗老年ACC患者效果确切，可有效改善患者的围术期指标，降低中转开腹及术后并发症风险，提升手术安全，其手术效果及患者预后均与ELC方案相仿。
Abstract:
Objective To investigate the effect of delayed laparoscopic cholecystectomy on perioperative indexes and prognostic quality of life in elderly patients with calculous cholecystitis.Methods A total of 60 elderly patients with acute calculous cholecystitis (ACC) admitted to the Department of General Surgery of Shenyang Sixth People’s Hospital and the General Hospital of Northern Theater Command from January 2016 to March 2019 were retrospectively selected and divided into control group and observation group according to different treatment regimens. Thirty patients undergoing early laparoscopic cholecystectomy (ELC) were set as the control group, and 30 patients undergoing delayed laparoscopic cholecystectomy (DLC) were set as the observation group. The perioperative indexes (operation time, intraoperative blood loss, postoperative drainage time), conversion rate, incidence of postoperative complications, white blood cell (WBC), C-reactive protein (CRP), neutrophil percentage (NEU%), prognosis quality of life and mortality were compared between the two groups.Results The operation time and postoperative drainage time of the observation group were shorter than those of the control group, and the intraoperative blood loss was less than that of the control group (P<0.05). The conversion rate of laparotomy and the incidence of postoperative complications in the observation group were lower than those in the control group (P<0.05). NEU%, CRP and WBC in the two groups were lower than those before operation (P<0.05), however, there was no significant difference between groups (P＞0.05). There was no significant difference in the excellent and good rate of prognosis and mortality between the two groups (P＞0.05).Conclusion DLC is effective in the treatment of elderly ACC patients, which can effectively improve the perioperative indicators of patients, reduce the risk of conversion to laparotomy and postoperative complications, and improve the safety of surgery. The surgical effect and prognosis of patients are similar to those of the ELC scheme.

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更新日期/Last Update: 1900-01-01