内镜下括约肌切开治疗老年胆总管结石的临床应用  

Clinical application of endoscopic sphincterotomy in elderly patients with choledocholithiasis

作　　者：胡维杰[1] 王利娜[1] 汪晓骏[1] 

机构地区：[1]中国人民解放军第八一医院消化科,江苏省南京市210002

出　　处：《实用老年医学》2009年第6期434-435,440,共3页Practical Geriatrics

摘　　要：目的探讨内镜下括约肌切开术(EST)对老年胆总管结石患者的治疗价值,并对其安全性进行评估。方法回顾性分析4年来105例≥65岁胆总管结石患者进行EST切开取石的成功率和并发症发生率。结果取石获得成功102例,取石成功率97.1%。未成功3例,其中插管造影失败2例,因心肺功能异常终止手术1例。术后并发症:急性胰腺炎4例,活动性出血1例,急性胆管炎1例,心律失常1例。结论EST治疗老年胆总管结石是一种创伤小、疗效确切、安全系数高的治疗方法,娴熟的内镜操作技术与规范的治疗可以减少并发症的发生。Objective To explore the clinical value and safety of endoscopic sphincterotomy （EST） on elderly patients with choledocholithiasis. Methods Retrospective analysis of success rate of 105 elderly patients with choledocholithiasis undergoing EST and the rate of complications in the past 4 years was carried out. Results Bile stones of 102 cases were obtained, the success rate was 97.1%. Three cases were unsuccessful, two of which was due to the failure of catheterization imaging and the other one was due to the operation termination because of cardiovascular dysfunction. Complications after operations ： 4 cases of pancreatitis, 1 case of progressive bleeding, 1 of acute cholangitis and 1 of arrhythmia. Conclusions EST on bile duct stone is a treatment of less injury, prominent effects with high safety. Skillful endoscopic operation and practical treatment can reduce the complications.

关 键 词：内镜下括约肌切开术 胆总管结石 老年人 

分 类 号：R657.42[医药卫生—外科学]