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目的分析进行手术治疗的老年急性非结石性胆囊炎(ACC)患者的临床疗效。方法 32例ACC患者均进行手术治疗,其中21例患者实施单纯的胆囊切除术,4例患者实施胆囊切除并进行胆管探查术,6例患者采取胆囊大部切除术,仅1例患者采取胆囊造口术。结果经过手术及病理检查发现,急性化脓性胆囊炎8例,坏疽性胆囊炎19例,合并胆囊穿孔14例。经治疗31例痊愈出院,仅1例死亡。结论对于老年ACC患者需在尽早改善患者一般情况后,尽早实施手术治疗,从而降低患者的病死率。
Objective To analyze the clinical effect of surgical treatment of senile acute acalculous cholecystitis (ACC). Methods Thirty-two patients with ACC were undergone surgical treatment. Among them, 21 patients underwent cholecystectomy, 4 underwent cholecystectomy and bile duct exploration, 6 underwent partial cholecystectomy and only 1 patient underwent gallbladder surgery Oral surgery. Results After operation and pathological examination, 8 cases of acute suppurative cholecystitis, 19 cases of gangrenous cholecystitis and 14 cases of gallbladder perforation were found. After the treatment of 31 cases were discharged, only 1 case of death. Conclusion For the elderly patients with ACC need to improve the general condition of patients as soon as possible, the implementation of surgical treatment as soon as possible, thereby reducing the patient’s mortality.