1158例高龄胰胆疾病患者临床特征及内镜诊疗效果分析  

Clinical features of and therapeutic ERCP for 1 158 patients with pancreatobiUary diseases

作　　者：张迎春[1] 麻树人[1] 杨卓[1] 高飞[1] 张宁[1] 赵志峰[1] 高峰[1] 赵云峰[1] 宫照杰[1] 刘宝军 

机构地区：[1]沈阳军区总医院内窥镜科,沈阳110016 [2]医务部

出　　处：《中华消化内镜杂志》2014年第3期143-147,共5页Chinese Journal of Digestive Endoscopy

摘　　要：目的评价高龄（≥80岁）胰胆疾病患者行经内镜逆行胰胆管造影术（ERCP）诊疗的临床价值。方法回顾性总结2007年1月至2013年6月行ERCP诊疗的1158例高龄胰胆疾病患者的临床资料，对临床特征、内镜诊治情况进行分析。结果1158例高龄胆疾病患者共接受1315例次ERCP诊疗，成功率为98．5％（1295／1315）。术中诊断胆管结石554例（47．8％），恶性胆道梗阻494例（42．7％），良性胆管狭窄42例（3．6％），Mirrizi综合征23例（2．0％），胰管结石21例（1．8％），未见异常24例（2．1％）。术后并发胰腺炎67例次（6．5％），高淀粉酶156例次（13．5％），死亡5例（0．4％）。结论高龄胰胆疾病患者行ERCP诊疗安全有效。Objective To evaluate the clinical features of pancreatobiliary diseases and the strate- gies of therapeutic ERCP for patients over 80 years. Methods Data of 1 158 patients over 80 years with pancreatobiliary diseases, who received ERCP from January 2007 to June 2013, were retrospectively ana- lyzed. Results A total of 1 315 procedures were performed in 1 158 patients, with a success rate of 98.5% （1 295/1 315）. After ERCP, cholangiolithiasis was diagnosed in 554 （47. 8% ） patients, malignant ob- struction of biliary tract in 494 （42. 7% ）, benign stenosis of bile duct in 42 （3.6%）, Mirrizi syndrome in 23 （2. 0% ）, stone of pancreatic duct in21 （1.8%） and normal in24 （2. 1% ）. The post-ERCP complica- tions included pancreatitis in 67 （ 6. 5% ）, elevated serum amylase in 156 （ 13.5% ） and death in 5 （0. 4% ）. Conclusion Therapeutic ERCP is safe and effective for extremely elderly patients with pancre- atobiliary diseases.

关 键 词：胰胆管造影术 内窥镜逆行 高龄 胰胆疾病 

分 类 号：R57[医药卫生—消化系统]