内镜逆行胰胆管造影与外科手术对老年急性梗阻性化脓性胆管炎的疗效比较  

Clinical effect of endoscopic retrograde cholangiopancreatography and traditional surgical operation on elderly acute obstructive suppurative cholangitis

作　　者：董家刚[1] Dong Jiagang(The third people＇s hospital of Yibin,Sichuan 64400)

机构地区：[1]宜宾市第三人民医院,四川宜宾644000

出　　处：《基层医学论坛》2018年第22期3065-3066,共2页The Medical Forum

摘　　要：目的对比内镜逆行胰胆管造影(ERCP)与外科手术对老年急性梗阻性化脓性胆管炎的临床疗效。方法选取2016年1月-2017年12月我院诊治的72例老年急性梗阻性化脓性胆管炎患者为研究对象,根据手术方式的不同分为观察组32例和对照组40例,观察组给予急诊ERCP治疗,对照组给予外科传统手术治疗,观察2组患者临床疗效。结果观察组术中出血量、住院天数及术后1周血清总胆红素水平均明显低于对照组(P<0.05);2组手术时间比较差异无统计学意义(P>0.05);观察组患者治愈率59.38%,明显高于对照组的37.50%,差异有统计学意义(P<0.05);观察组患者术后并发症发生率少于对照组(P<0.05)。结论对老年急性梗阻性化脓性胆管炎患者实施内镜逆行胰胆管造影治疗效果较为显著,可有效缩短恢复时间,降低不良反应发生率,改善预后效果,值得在临床上推广应用。Objective To evaluate the clinical effect of ERCP and traditional surgical operation on elderly acute obstructive suppurative cholangitis. Methods Totally 72 patients with elderly acute obstructive suppurative cholangitis in our hospital from January 2016 to December 2017 were selected. All patients were divided into observation group（n=32） and control group（n=40） according to different treatment methods, the observation group were given ERCP,the control group were given traditional surgical operation. The clinical effect were compared between the two groups.Results Amount of bleeding, hospital stay time and serum total bilirubin after 1 week of the observation group were significantly lower than those of the control group（P〈0.05）.Operation time between the two grorps has no significant difference（P〈0.05）.After operation, cure rate of the observation group was 59.38%, showed significantly higher than that of the control group of 37.50%（P〈0.05）.The complication rate in the observation group was significantly lower than that in the control group（P〈0.05）.Conclusion ERCP has advantages in treatment of elderly acute obstructive suppurative cholangitis. It can be widely applied in clinics.

关 键 词：急性梗阻性化脓性胆管炎 老年患者 ERCP 外科手术 疗效对比 

分 类 号：R657.45[医药卫生—外科学]