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This Paper analysed the results of 43 old patients with cholecystpathy admitted to our hospital from January 1991 to May 1993 Treated by laparoscopic cholecystectomy. The results showed the techniqune was safe and effective in the treatment old patients. Compared with the results of treatment by conventional cholecystectomy, the patients were given more benefit from lapaoscopic cholecystectomy treatment, the severity of wound pain was lesser;the resumed normal diet earlier and they returned to normal... This Paper analysed the results of 43 old patients with cholecystpathy admitted to our hospital from January 1991 to May 1993 Treated by laparoscopic cholecystectomy. The results showed the techniqune was safe and effective in the treatment old patients. Compared with the results of treatment by conventional cholecystectomy, the patients were given more benefit from lapaoscopic cholecystectomy treatment, the severity of wound pain was lesser;the resumed normal diet earlier and they returned to normal activities sooner after the operation and the hospital days were shorter. 本文对从1991年1月至1993年5月入院的43例老年人胆囊疾病患者进行腹腔镜胆囊切除(LC)治疗结果进行临床分析。结果表明,LC安全、可靠。将LC与传统的开腹胆囊切除术进行对照分析,认为LC术后患者伤口疼痛轻、恢复快、能提早进食和住院时间缩短。 Writer had performed cholecystectomy using 5cm mini-section (MC)in 30 cases from march 1993 to June 1994. Comperativing with conventional cholecystectomy(CC) which was performed in the some period. The average length of section:MC group 5. 5cm. CC group 11. 5cm (P<0. 01) ; The average time of passing gas from bowel after operation:MC group 30 hours, CC group 54 hours (P<0.01). The average time in the hospital after operation: MC group 8 days. CC group 12 days(P<0.05). The bleeding quantity during operation... Writer had performed cholecystectomy using 5cm mini-section (MC)in 30 cases from march 1993 to June 1994. Comperativing with conventional cholecystectomy(CC) which was performed in the some period. The average length of section:MC group 5. 5cm. CC group 11. 5cm (P<0. 01) ; The average time of passing gas from bowel after operation:MC group 30 hours, CC group 54 hours (P<0.01). The average time in the hospital after operation: MC group 8 days. CC group 12 days(P<0.05). The bleeding quantity during operation and operation time between two group no significance(P>0.05). All of comparative study showed that MC was a benefit operation with smaller wound. quicker recovery,shorter hospitalism,and lower cost than CC. 作者自1993年3月至1994年6月共采用5cm小切口胆囊切除术(MC)30例。与同期施行的63例传统切口胆囊切除术(CC)比较,切口平均长度MC组5.5cm,CC组11.5cm(P<0.01);术后平均排气时间MC组为30h,CC组为54h(P<0.01);术后平均住院天数MC组为8天,CC组为12天(P<0.05)。术中出血量和手术时间两组比较无意义(P>0.05)。提示MC手术较CC手术腹壁创伤小,术后胃肠功能恢复快,住院天数短、费用低等优点。 Fifty cases of gallbladder disease operated with minilaparotomy cholecystectomy(MC)and fifty cases operated with conventional cholecystectomy(CC)were reviewed and compared in terms of their need of postoperative analgesic and hospitalization days.The results showed that the MC was better than the CC.The merits and demerits of MC,CC and LC were discussed.The operative indexes of MC were presented by author. 回顾性分析50例小切口胆囊切除术,并与条件相似按传统方法行胆囊切除术的50例患者就术后止痛药用量和住院天数等进行对比。结果表明,前者比后者具有手术损伤小、术后切口疼痛轻、术后恢复快及住院天数少的优点。术后24h止痛药用量,前者为0.8次,后者为1.6次(P<0.001)。术后住院天数,前者为6.6d,后者为8.9d(P<0.05)。
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