急性梗阻化脓性胆管炎的早期内镜介入与外科手术治疗的对比分析  

Contrast analysis of early endoscopic intervention and surgical operation in the treatment of acute obstruction suppurative cholangitis

作　　者：张海荣[1] 何恒[1] 马翠梅[1] 王一波[1] 

机构地区：[1]济宁医学院附属医院消化内科,272000

出　　处：《国际医药卫生导报》2015年第20期3020-3022,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨在急性梗阻化脓性胆管炎患者中运用早期内镜介入和外科手术治疗的临床效果.方法 选择近期到本院诊治的72例急性梗阻化脓性胆管炎患者充当研究的受试对象,并根据治疗方案差异性等分成两组,对照组36例通过外科开腹手术治疗,观察组36例实施早期内镜介入处理,针对两组的临床处理情况进行观察与分析.结果 相对对照组而言,观察组处理后的治愈率明显更高,腹痛与黄疸恢复时间明显缩短,住院时间明显缩短,术后合并症率明显降低,差异有统计学意义（P＜0.05）.经相应方案处理后,观察组的IL-4、IL-8和CRP相比对照组明显更低,差异有统计学意义（P＜0.05）.结论 选择早期内镜介入术对急性梗阻化脓性胆管炎患者展开治疗,相比外科开腹术疗效更高,更利于炎症的清除,更具有推广意义.Objective To study the clinical effect of early endoscopic intervention and surgical operation in the treatment of acute obstruction suppurative cholangitis.Methods 72 cases of acute obstruction suppurative cholangitis in our hospital were selected as research subjects, and divided into two groups equally according to different treatment methods.36 cases in control group were treated with surgical laparotomy, while 36 cases in observation group were treated with early endoscopic intervention treatment.Observed clinical efficacy of two groups.Results The cure rate of observation group after processing was higher than that of control group, the recovery time of abdominal pain and jaundice were shorter than those of control group, hospitalization time was shorter than that of control group, the rate of postoperative complications was lower than that of control group, the levels of IL-4, IL-8 and CRP were lower than those of control group, with statistically significant differences （P〈0.05）.Conclusion Compared with surgical operation, early endoscopic intervention has better curative effect in the treatment of acute obstruction suppurative cholangitis, which is helpful to the removal of the inflammation, worthy of clinical promotiom.

关 键 词：急性梗阻化脓性胆管炎 内镜介入 外科手术 临床效果 

分 类 号：R657.45[医药卫生—外科学]