中国社区医师2017，Vol.33Issue(2)：92-92,95,2.DOI:10.3969/j.issn.1007-614x.2017.2.57
老年胆结石合并胆道感染的临床分型及腹腔镜手术时机选择临床研究
Clinical classification of biliary tract infections in elderly patients with gallstones and timing of laparoscopic surgery
摘要
Abstract
Objective:To explore the clinical classification of biliary tract infections in elderly patients with gallstones and timing of laparoscopic surgery.Methods:112 elderly patients with biliary tract infections and gallstones were selected.They were divided into the mild biliary tract infection group(A group),aura type acute severe biliary tract infection group(B group) and severe acute biliary tract infection group(C group),and patients were treated by laparoscopic cholecystectomy.Results:①The constituent ratios of the three groups of A group,B group and C group was 49.11%,42.86% and 8.04% respectively,and the incidence of gallbladder and bile duct stones of B group and C group was 39.58% and 44.44% respectively,higher than the A group of 27.27%(P<0.05).②Postoperative hospital stay of the three groups of A group,B group and C group was (9.57±2.12) days,(16.95±3.12) days and (25.16±4.79) days(P<0.05).③The postoperative residual stone rate of the three groups of A group,B group and C group was 5.45%,10.42% and 33.33%(P<0.05).④The incidence of complications of the three groups of A group,B group and C group was 1.82%,8.33% and 33.33% respectively(P<0.05).Conclusion:Patients with gallbladder and bile duct stones were prone to acute biliary infection.The effect of early surgical treatment for mild biliary tract infection and aura type acute severe biliary tract infection was better.关键词
胆道结石/老年人/胆道感染/临床分型/手术时机Key words
Bile duct stones/Elderly patients/Biliary tract infection/Clinical classification/Operation opportunity引用本文复制引用
王曙亮..老年胆结石合并胆道感染的临床分型及腹腔镜手术时机选择临床研究[J].中国社区医师,2017,33(2):92-92,95,2.
