急诊经内镜逆行胰胆管造影术治疗老年胆总管结石继发急性重症胆管炎的临床价值分析  

Clinical Value of Emergency Endoscopic Retrograde Cholangiopancreatography in the Treatment of Acute Severe Cholangitis Secondary to Choledocholithiasis in Elderly Patients

作　　者：湛卫华 赵洪 程永鹏 龙涛 Zhan Weihua;Zhao Hong;Cheng Yongpeng;Long Tao(Liupanshui People's Hospital,Liupanshui 553000,Guizhou Province,China)

机构地区：[1]六盘水市人民医院,贵州六盘水553000

出　　处：《中外医药研究》2024年第8期38-40,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析老年胆总管结石继发急性重症胆管炎(ACST)患者采用急诊经内镜逆行胰胆管造影术(ERCP)治疗的价值。方法:选取2019年1月—2023年12月六盘水市人民医院收治的老年胆总管结石继发ACST患者200例,以随机数字表法分为对照组与观察组,各100例。对照组行腹腔镜下胆总管探查取石术治疗,观察组行急诊ERCP治疗。比较两组患者临床疗效、症状缓解时间、并发症。结果:观察组患者总有效率为96.00%(96/100),对照组为94.00%(94/100),两组比较差异无统计学意义(P>0.05)。观察组患者腹痛缓解时间、住院时间短于对照组,差异有统计学意义(P<0.05)。对照组患者并发症发生率为9.00%,观察组为6.00%,两组差异无统计学意义(P>0.05)。结论:急诊ERCP治疗老年胆总管结石继发ACST效果显著,安全性高。Objective:To analyze the value of emergency endoscopic retrograde cholangiopancreatography(ERCP)in the treatment of senile patients with acute severe cholangitis secondary to choledocholithiasis(ACST).Methods:A total of two hundred elderly patients with ACST secondary to common choledocholithiasis treated in Liupanshui People's Hospital from January 2019 to December 2023 were selected and divided into control group and observation group by random number table method,with one hundred cases in each group.The control group received laparoscopic choledochal exploration and lithotomy,and the observation group received emergency ERCP treatment.The clinical efficacy,symptom remission time and complications were compared between the two groups.Results:The total effective rate was 96.00%(96/100)in the observation group and 94.00%(94/100)in the control group,with no statistical significance between the two groups(P>0.05);the time of abdominal pain relief and hospital stay in observation group were shorter than those in control group,and the difference was statistically significant(P<0.05);the incidence of complications was 9.00%in control group and 6.00%in observation group,and there was no significant difference between the two groups(P>0.05).Conclusion:Emergency ERCP is effective and safe in treating ACST secondary to choledocholithiasis in elderly patients.

关 键 词：急诊经内镜逆行胰胆管造影术 胆总管结石 急性重症胆管炎 

分 类 号：R657.42[医药卫生—外科学] R657.45[医药卫生—临床医学]