老年患者日间ERCP模式安全性和有效性分析  

Safety and efficacy of ambulatory ERCP mode for elderly patients

作　　者：袁志青 王贵阳[1] 辛诚[1] 杨林华[1] 朱宏毅[1] 李可为[1] 

机构地区：[1]上海交通大学医学院附属仁济医院胆胰外科,上海200127

出　　处：《肝胆胰外科杂志》2016年第5期366-369,共4页Journal of Hepatopancreatobiliary Surgery

基　　金：上海市科委项目(13695840900)

摘　　要：目的探讨65岁以上老年患者日间ERCP模式的安全性和有效性。方法回顾性分析2013年1月至2015年12月我院胆胰外科日间ERCP中心实施的228例治疗性ERCP操作的患者资料,其中年龄小于65岁的患者(A组)159例,年龄大于等于65岁的患者(B组)69例,评估两组的疾病分布、ERCP操作类型、住院时间、总费用、疾病转归及并发症等指标。结果 A、B两组患者的疾病分布、ERCP操作类型、住院天数、总费用、疾病转归及并发症等指标均无明显统计学差异(P>0.05)。结论日间ERCP模式治疗老年患者胆胰疾病安全有效,该模式可作为一种更加合理的模式被推广。Objective To evaluate the safety and efficiency of ambulatory ERCP mode for elderly patients.Methods A total of 228 patients who underwent therapeutic ERCP between Jan. 2013 and Dec. 2015 were retrospectively analyzed. Patients in group A（159 cases） were less than 65 years old and patients in group B（69patients） were over 65 years old. The primary diseases type, details of the ERCP procedures, length of the hospital duration, total medical expense, prognosis of the diseases and the operation complications were compared between the group A and B. Results Between the two groups, there were no statistic differences（P〈0.05） in the primary diseases type, details of the ERCP procedures, length of the hospital duration, total medical expense,prognosis of the diseases and the operation complications（P〉0.05）. Conclusion Ambulatory ERCP mode is safe and effective for elderly patients and which may be a more reasonable approach for ERCP procedure.

关 键 词：胆石症 内镜逆行胆胰管造影术 日间手术 老年患者 

分 类 号：R657.4[医药卫生—外科学] R657.5[医药卫生—临床医学]