经内镜逆行胰胆管造影治疗85岁以上胆总管结石患者的效果观察

目的分析和探讨经内镜逆行胰胆管造影（ERCP）在85岁以上胆总管结石患者治疗中的有效性和安全性。方法回顾性分析2013年1月-2014年12月南京医科大学第二附属医院行ERCP治疗的150例胆总管结石患者资料,其中≥85岁的患者（高龄组）50例,≤60岁的患者（非高龄组）100例。术后密切观察生命体征变化、有无发热、腹痛等症状,监测术后3 h及24 h血常规、血淀粉酶,对两组患者治疗成功率、一次取石成功率及并发症发生率进行分析。计数资料的组间比较采用χ2检验。结果胆总管结石高龄组患者治疗成功率为98.0%（49/50）,非高龄组患者治疗成功率为99.0%（99/100）,两组比较差异无统计学意...

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Bibliographic Details
Published in临床肝胆病杂志 Vol. 31; no. 10; pp. 1637 - 1640
Main Author 韦璐 王长青 刘政
Format Journal Article
LanguageChinese
Published 南京医科大学第二附属医院消化科,南京,210011 2015
Subjects
老年人,80以上
胆总管结石
胰胆管造影术,内窥镜逆行
胆总管结石
老年人,80以上
choledocholithiasis
胰胆管造影术,内窥镜逆行
cholangiopancreatography,endoscopic retrograde
aged,80 and over
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ISSN1001-5256
DOI10.3969/j.issn.1001-5256.2015.10.019

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Summary:目的分析和探讨经内镜逆行胰胆管造影（ERCP）在85岁以上胆总管结石患者治疗中的有效性和安全性。方法回顾性分析2013年1月-2014年12月南京医科大学第二附属医院行ERCP治疗的150例胆总管结石患者资料,其中≥85岁的患者（高龄组）50例,≤60岁的患者（非高龄组）100例。术后密切观察生命体征变化、有无发热、腹痛等症状,监测术后3 h及24 h血常规、血淀粉酶,对两组患者治疗成功率、一次取石成功率及并发症发生率进行分析。计数资料的组间比较采用χ2检验。结果胆总管结石高龄组患者治疗成功率为98.0%（49/50）,非高龄组患者治疗成功率为99.0%（99/100）,两组比较差异无统计学意义（χ2=0.253,P〉0.05）。高龄组患者一次取石成功率为70.0%（35/50）,非高龄组为91.0%（91/100）,两组比较差异有统计学意义（χ2=10.938,P〈0.05）。高龄组患者ERCP术后并发症发生率为8.0%（4/50）,非高龄组患者并发症发生率为12.0%（12/100）,两组比较差异无统计学意义（χ2=0.560,P〉0.05）。结论 ERCP安全性和有效性高,可考虑作为高龄胆总管结石患者的首选治疗方法。
Bibliography:cholangiopancreatography; endoscopic retrograde; choledocholithiasis; aged; 80 and over
Objective To evaluate the safety and efficacy of therapeutic endoscopic retrograde cholangiopancreatography（ ERCP） in very elderly patients（ 85 years or older） with common bile duct stones. Methods A retrospective study was conducted on 150 patients with common bile duct stones who underwent ERCP in the Second Affiliated Hospital of Nanjing Medical University between January 2013 and December 2014. The subjects were divided into two groups： very elderly group of 50 patients aged 85 or above and non- elderly group of 100 patients aged 60 or below. Postoperative vital signs were closely monitored. Symptoms such as fever and abdominal pain were recorded.Blood test was performed and the level of serum amylase was determined at 3 and 24 h after ERCP. The treatment success rate,success rate of stone removal in one setting,and incidence rate of complications in the two groups were compared by chi- square test. Results The treatmen
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2015.10.019