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目的观察40例老年急性结石性胆囊炎手术治疗的临床效果。方法采取随机法选择我院2010年03月至2016年01月接收的40例老年急性结石性胆囊炎,对患者的临床资料进行分析,行开腹手术治疗,观察所有患者的临床治疗效果、并发症发生情况以及TBi L(血清总胆红素)、AST(谷草转氨酶)、ALT(丙转氨酶)、ALB(白蛋白)等指标参数。结果经过手术治疗后,所有患者的临床症状均得到显著改善,40例患者中未发生死亡或胆管受损、临近器官组织损伤、出血等并发症。术后切口感染1例,发生率2.5%,经抗感染处理后治愈,所有患者均痊愈出院,治愈率100%。其中中轻度患者血清总胆红素、谷草转氨酶、丙转氨酶水平均明显低于重度患者,白蛋白水平高于重度患者,组间数据对比差异性明显,(P<0.05)。结论对老年急性结石性胆囊炎手术治疗后患者的临床症状均得到显著改善,值得在急性结石性胆囊炎手术治疗中应用。
Objective To observe the clinical effect of 40 cases of elderly patients with acute calculous cholecystitis. Methods A total of 40 elderly patients with acute calculous cholecystitis received from March 2010 to January 2016 were selected by random method. The clinical data of the patients were analyzed. The patients underwent laparotomy and the clinical effects of all patients were observed. Conclusions The occurrence of disease and the index parameters of TBiL, AST, ALT and albumin. Results After surgery, the clinical symptoms of all patients were significantly improved. No death or bile duct injury, adjacent organ tissue injury, bleeding and other complications occurred in 40 patients. Incision infection in 1 case, the incidence of 2.5%, after treatment of anti-infective cure, all patients were cured and discharged, the cure rate was 100%. The levels of serum total bilirubin, aspartate aminotransferase, and aminotransferase in moderate and mild patients were significantly lower than those in severe patients, and the albumin level was higher than that in severe patients. There was significant difference between the two groups (P <0.05). Conclusion The clinical symptoms of elderly patients with acute calcific cholecystitis after surgery have been significantly improved, it is worth in the application of surgical treatment of acute calcific cholecystitis.