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目的探讨高龄急性胆囊炎的临床特点及手术时机和手术方法。方法对143例手术治疗高龄急性胆囊炎的临床资料进行回顾性分析。结果143例高龄急性胆囊炎手术治疗,治愈135例,好转8例,死亡1例。结论高龄患者对急性胆囊炎手术一般均可耐受,早期手术及防治术后并发症可降低病死率。手术者具备熟练的镜下操作技巧、正确的处理方法和手术时机,经腹腔镜胆囊切除也是可行的。
Objective To investigate the clinical features of elderly acute cholecystitis and the timing of surgery and surgical methods. Methods The clinical data of 143 cases of acute cholecystitis treated by surgery were analyzed retrospectively. Results 143 cases of acute cholecystitis in elderly surgical treatment, cured 135 cases, improved in 8 cases, 1 died. Conclusion The elderly patients with acute cholecystitis surgery generally tolerable, early surgery and prevention and treatment of postoperative complications can reduce mortality. Operators with skilled operating skills under the microscope, the correct treatment and timing of surgery, laparoscopic cholecystectomy is feasible.