胆道良性疾病老年患者的治疗分析
胆道疾病,,胆道疾病；老年,1临床资料,2讨论,【参考文献】
【摘要】 目的 探讨老年胆道良性疾病的治疗方式选择。方法 回顾性分析了1999年5月～2005年4月218例60岁以上老年人胆道良性疾病的治疗情况，分为手术组和非手术组，分析了疾病种类分布、合并症类型、治疗方式选择和治疗结果。结果 75.2%的患者存在不同类型的合并症。206例行手术治疗，其中急诊95例，手术并发症33例。总死亡率2.29%。结论 针对老年患者并存病多和术后并发症多的特点，强化围手术期处理是提高手术成功率，降低并发症和病死率的关键。【关键词】 胆道疾病；老年
Management of biliary tract benign disease in the aged
ZHANG He-ping,PEI Qiu-li.
Department of Surgery,Xinan Peoples Hospital,Henan 471800,China
【Abstract】 Objective To discuss the selection of the treatment of elderly biliary tract benign disease.Methods Retrospective study of the clinical data from 218 patients aged over 60 years with biliary tract benign disease who were admitted of our hospital from May 1999 to April 2005.218 patients who underwent operation and non-operative treatment were studied, the kind of disease, concomitant disease, management and outcome were analyzed.Results 75.2 percent of patients have different kinds of concomitant diseases. 206 patients underwent operation. Emergency procedure was performed in 95 patients.Complications developed in 33 patients. Among the 218 patients studied, there was 2.29 percent overall mortality.Conclusion The patients of biliary tract disease in the aged have more coexist diseases and more postoperative complications.Consolidate the treatment of the disease in perioperation times is the key to reducing the mortality and operative complication in these patients. ......
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