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...

Full description

Saved in:
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
Online AccessGet full text
ISSN1001-5256
DOI10.3969/j.issn.1001-5256.2015.10.019

Cover

Abstract 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。
AbstractList 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。
R657.42; 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3h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x2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(x2=o.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(x2=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(x2=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.
Author 韦璐 王长青 刘政
AuthorAffiliation 南京医科大学第二附属医院消化科,南京210011
AuthorAffiliation_xml – name: 南京医科大学第二附属医院消化科,南京,210011
Author_FL LIU Zheng
WANG Changqing
WEI Lu
Author_FL_xml – sequence: 1
  fullname: WEI Lu
– sequence: 2
  fullname: WANG Changqing
– sequence: 3
  fullname: LIU Zheng
Author_xml – sequence: 1
  fullname: 韦璐 王长青 刘政
BookMark eNo9kEtLAlEUx-_CIDO_RLRoM9O9M3Nfy5BeILSwvcxLG7FrOUTkatKUiKBFWBCSSUS7HrYJhr6N8_BbdMVodf7n_H-cP-csgYxoCBeAVQRVnRO-XlM93xcqghApWMNE1SDCslUh4hmQ_Z8vgrzvexbESCfcwCQLSkl4E_W60_5gGvTS0XXa-Ug7veRtNA2eop_PeBwmd_cMR-PzSfgy-b6SZhyE0k_C22T4Fbef06CbPFzE_cv4cZC-tqP34TJYqJh1383_1RwobW3uF3aU4t72bmGjqNgEckWDkGo2dwxkUO5qOrcrzKWGyYhjE-Yw7jKGTIipw3XDoJZlOxqlhEjBsKvrObA233pqioopquVa46QpZF65blcdq9Wa_WB2OZfoyhy1DxqieuxJ-KjpHZrNszIhxKCMEq7_Ao7RfN8
ClassificationCodes R657.42
ContentType Journal Article
Copyright Copyright © Wanfang Data Co. Ltd. All Rights Reserved.
Copyright_xml – notice: Copyright © Wanfang Data Co. Ltd. All Rights Reserved.
DBID 2RA
92L
CQIGP
W91
~WA
2B.
4A8
92I
93N
PSX
TCJ
DOI 10.3969/j.issn.1001-5256.2015.10.019
DatabaseName 维普期刊资源整合服务平台
中文科技期刊数据库-CALIS站点
维普中文期刊数据库
中文科技期刊数据库-医药卫生
中文科技期刊数据库- 镜像站点
Wanfang Data Journals - Hong Kong
WANFANG Data Centre
Wanfang Data Journals
万方数据期刊 - 香港版
China Online Journals (COJ)
China Online Journals (COJ)
DatabaseTitleList

DeliveryMethod fulltext_linktorsrc
Discipline Medicine
DocumentTitleAlternate Safety and efficacy of therapeutic endoscopic retrograde cholangiopancreatography in very elderly patients(85 years or older) with common bile duct stones
DocumentTitle_FL Safety and efficacy of therapeutic endoscopic retrograde cholangiopancreatography in very elderly patients (85 years or older) with common bile duct stones
EndPage 1640
ExternalDocumentID lcgdbzz201510019
666478769
GroupedDBID -05
2B.
2C~
2RA
5XA
5XF
92F
92I
92L
ABDBF
ACGFS
ALMA_UNASSIGNED_HOLDINGS
CCEZO
CIEJG
CQIGP
CW9
EAD
EAP
EOJEC
ESX
GROUPED_DOAJ
IPNFZ
OBODZ
OK1
RIG
RNS
TCJ
TGQ
U1G
U5O
W91
~WA
4A8
93N
ABJNI
ACUHS
PSX
ID FETCH-LOGICAL-c609-20072c9d41479e239cf8e74a86dc68d89e881a057d93447bbcd27766bbc85e33
ISSN 1001-5256
IngestDate Thu May 29 03:59:49 EDT 2025
Wed Feb 14 10:28:24 EST 2024
IsPeerReviewed true
IsScholarly true
Issue 10
Keywords 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
Language Chinese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c609-20072c9d41479e239cf8e74a86dc68d89e881a057d93447bbcd27766bbc85e33
Notes 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
PageCount 4
ParticipantIDs wanfang_journals_lcgdbzz201510019
chongqing_primary_666478769
PublicationCentury 2000
PublicationDate 2015
PublicationDateYYYYMMDD 2015-01-01
PublicationDate_xml – year: 2015
  text: 2015
PublicationDecade 2010
PublicationTitle 临床肝胆病杂志
PublicationTitleAlternate Chinese Journal of Clinical Hepatology
PublicationTitle_FL Journal of Clinical Hepatology
PublicationYear 2015
Publisher 南京医科大学第二附属医院消化科,南京,210011
Publisher_xml – name: 南京医科大学第二附属医院消化科,南京,210011
SSID ssib051369456
ssj0041983
ssib001103858
ssib053243598
ssib002264326
ssib038074677
Score 2.0068142
Snippet 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...
R657.42; 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...
SourceID wanfang
chongqing
SourceType Aggregation Database
Publisher
StartPage 1637
SubjectTerms 老年人,80以上
胆总管结石
胰胆管造影术,内窥镜逆行
Title 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
URI http://lib.cqvip.com/qk/90100X/201510/666478769.html
https://d.wanfangdata.com.cn/periodical/lcgdbzz201510019
Volume 31
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVEBS
  databaseName: EBSCOhost Academic Search Ultimate
  issn: 1001-5256
  databaseCode: ABDBF
  dateStart: 20130401
  customDbUrl: https://search.ebscohost.com/login.aspx?authtype=ip,shib&custid=s3936755&profile=ehost&defaultdb=asn
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://search.ebscohost.com/direct.asp?db=asn
  omitProxy: true
  ssIdentifier: ssj0041983
  providerName: EBSCOhost
– providerCode: PRVHPJ
  databaseName: ROAD: Directory of Open Access Scholarly Resources
  issn: 1001-5256
  databaseCode: M~E
  dateStart: 19850101
  customDbUrl:
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://road.issn.org
  omitProxy: true
  ssIdentifier: ssib053243598
  providerName: ISSN International Centre
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LaxRBEG7ygOBFfGKMSoT0ceM8unu6jz27swQhXhIht2VemxxkfSWXPa2JCSKCB4mCBGMQ8eYjXoTFuz8k-8i_sKpnNjuRINHLUHRVV39dNbNVPdtdQ8iMTFNPcc5LFty9JeZaUUlyxUr1VEWhXU9C15Rrmr8j5u6y20t8aWT0V2HX0tpqNBs3TzxX8j9ehTbwK56S_QfPHimFBqDBv3AFD8P1VD6mgUd9n8oqDTiVgkpOA0UVp6qMhLSwMZBU21SWkZAu9a2cQJZHdYDcTFhbqMevUB9aBPUdVA4ySlBYBXLDdCD1pAFDjuaGAGW6oFKgpqxfrttgVK7RVKW-a2Qcql3TyzKogaWpZMgC-FIaIjDzAPgeysPougoaiul0DsBnBpseIHGoqhybpfLMKALbM1U-qDoKwcZqVaozWehtDTnQM6DSzw0L3ZCoUOUMRQxglWEGPNXim5TsFKm5641gBbEgak112bSUB9aCoW0zS4Y0EpUcEkiisOkljWuVMtbi6Cqw01CPYWnH-E8YQxqWEsMhnPIJSJyyg3Wy7EKQwm1w3MkKsg-imGsXn1arEJMg4_YK-Q2sj62TYqerhDKxE8eYPRoDdz_yWdwAmYe249XJ78XLSdRsohB2UaNk3PEg5xsj49qv-NVham5bx-om4QHuwtIBv3vACqUVue0KxYZ1njgk_lhscpBlMVvJ7PBMjnOCzOSTuPW3KWAJlZX7jeWHkBiac3qNethYLqSUi-fI2XwtOK2zB_s8GWmuXCAT8_lul4tkodd-2dnaPNzeOWxt9fde9De-9je2ep_3DlvvOz-_dffbvddvJO_sPzlofzz48RyY3VYb-L32q97u9-76h35rs_f2aXf7WffdTv_TeufL7iWyUA0Wy3Ol_CMopVjgn59Y2j9WCbOZp1LHVXFdph4LpUhiIROpUintEBZdicLanVEUJ44HDgBC8tR1L5Oxxv1GeoVMu_WEhQmvq0hELE14GMeOiCwRKZXaVhhOkqkjy9QeZKVuakLgWXRPqElyM7dVLf8BfFz70_dXTyEzRc4gnb3EvEbGVh-tpdchrV-NbuR3zG9QP8Bk
linkProvider EBSCOhost
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E7%BB%8F%E5%86%85%E9%95%9C%E9%80%86%E8%A1%8C%E8%83%B0%E8%83%86%E7%AE%A1%E9%80%A0%E5%BD%B1%E6%B2%BB%E7%96%9785%E5%B2%81%E4%BB%A5%E4%B8%8A%E8%83%86%E6%80%BB%E7%AE%A1%E7%BB%93%E7%9F%B3%E6%82%A3%E8%80%85%E7%9A%84%E6%95%88%E6%9E%9C%E8%A7%82%E5%AF%9F&rft.jtitle=%E4%B8%B4%E5%BA%8A%E8%82%9D%E8%83%86%E7%97%85%E6%9D%82%E5%BF%97&rft.au=%E9%9F%A6%E7%92%90&rft.au=%E7%8E%8B%E9%95%BF%E9%9D%92&rft.au=%E5%88%98%E6%94%BF&rft.date=2015&rft.pub=%E5%8D%97%E4%BA%AC%E5%8C%BB%E7%A7%91%E5%A4%A7%E5%AD%A6%E7%AC%AC%E4%BA%8C%E9%99%84%E5%B1%9E%E5%8C%BB%E9%99%A2%E6%B6%88%E5%8C%96%E7%A7%91%2C%E5%8D%97%E4%BA%AC%2C210011&rft.issn=1001-5256&rft.volume=31&rft.issue=10&rft.spage=1637&rft.epage=1640&rft_id=info:doi/10.3969%2Fj.issn.1001-5256.2015.10.019&rft.externalDocID=lcgdbzz201510019
thumbnail_s http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=http%3A%2F%2Fimage.cqvip.com%2Fvip1000%2Fqk%2F90100X%2F90100X.jpg
http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=http%3A%2F%2Fwww.wanfangdata.com.cn%2Fimages%2FPeriodicalImages%2Flcgdbzz%2Flcgdbzz.jpg