【摘要】 目的探讨老年急性重症胆管炎(ACST)的临床特点、治疗方法及预后。方法2003年1月~2009年12月收治60岁以上ACST患者105例。其中开放手术治疗37例(手术组),内镜下治疗39例(内镜治疗组),保守治疗29例(保守治疗组)。对3组治疗病例的病死率,治愈率进行统计学检验。结果手术组、内镜治疗组的治愈率均高于保守治疗组。全组病死率10.48%,其中保守治疗组为13.79%,手术组为10.81%,内镜治疗组为5.13%,差异有显著性。结论老年ACST患者临床表现不典型,病死率高。早期解除梗阻、充分引流胆道是治疗的关键。内镜治疗操作简便,较为安全有效。更多还原

【Abstract】 Objective To review the clinic character,therapeutic method and prognosis in geronitism severe acute cholangitis patients. Methods In Jan 2003 to Dec 2009,we treated 105 geronitism severe acute cholangitis patients,37 cases were operated,39 cases were used endoscope,29 cases were expectant treated.The rate of fatality and recovery in those three groups were statisticly analyzed.Results The recovery rate in operation and endoscope groups were higher than conservative group.The fatality rate were 10.81%,5.13% and 13.79% differently,10.48% averagely,the difference was statisticly significant.Conclusions The clinic situation in geronitism severe acute cholangitis patients is not typical,fatality rate is high.Disengaging the obstruction earlier and drainaging the biliary tract sufficiently are the key points in treatment.Therapeutic endoscopy is manipulated conveniently,safely and effectively.更多还原