急诊内镜治疗高龄急性胆管炎患者的疗效评价  

Clinical effi cacy of emergency endoscopy in elderly patients with acute cholangitis

作　　者：董晓萌[1] 蔡旺[2] 张超[3] 李宁[2] 

机构地区：[1]天津中医药大学研究生院,天津市300073 [2]天津中西医结合医院(南开医院)微创外科,天津市300100 [3]天津医科大学研究生院,天津市300070

出　　处：《世界华人消化杂志》2015年第29期4733-4737,共5页World Chinese Journal of Digestology

基　　金：天津市卫生局科技基金资助项目;No.2013KZ054~~

摘　　要：目的:评价急诊内镜在高龄急性胆管炎(acuteaholangitis)患者中的有效性及安全性.方法:选取2013-03/2014-07于天津中西医结合医院行急诊内镜下逆行胰胆管造影术(endoscopic retrograde cholangiopancreatogra phy,ERCP)的老年急性胆管炎患者,回顾性的分析148例符合条件的患者临床资料.结果:148例患者中成功接受急诊内镜的为141例,失败7例.其中成功接受急诊内镜的141例中,65例一次性取出结石,74例放置内镜下鼻胆管引流术(endoscopic nasobiliary drainage,ENBD)后临床症状缓解.择期行手术或内镜治疗,2例患者死亡.141例患者中,内镜后出血7例,穿孔0例,胰腺炎2例.结论:急诊内镜是治疗高龄急性胆管炎患者安全有效的方法.在经验丰富的消化内镜中心,急诊内镜可以作为高龄急性胆管炎患者首选的治疗方法.AIM：To evaluate the clinical efficacy of emergency endoscopy in elderly patients with acute cholangitis（AC）.METHODS：Clinical data for 148 elderly patients with acute cholangitis who underwent emergency endoscopic retrograde cholangiopancreatography（ERCP） from March2013 to July 2014 at Tianjin Nankai Hospital were retrospectively analyzed.RESULTS：Of the 148 cases,141 underwent successful emergency endoscopy,of whom 65 had stone removal in the first session,and 74 had significant relief of clinical symptoms after endoscopic nasobiliary drainage（ENBD）.Two patients died.Of the 141 case who underwent successful ERCP,7 developed bleeding,and 2developed pancreatitis after ERCP.CONCLUSION：Emergency endoscopy is a safe and effective method for the treatment of elderly patients with acute cholangitis.In experienced digestive endoscopy centers,emergency endoscopy can be used as a preferred treatment for elderly patients with acute cholangitis.

关 键 词：急诊内镜 高龄 急性胆管炎 

分 类 号：R575.7[医药卫生—消化系统]