【摘要】 目的探讨内镜逆行胰胆管造影(ERCP)技术应用于治疗老年胆总管结石患者的临床疗效及安全性。方法收集我院2012年6月~2015年9月罹患胆总管结石并行内镜逆行胰胆管造影取石术的105例患者,其中老年组(年龄≥60岁)55例;非老年组(年龄<60岁)50例,分析两组的临床疗效,包括手术相关指标比较、术后并发症比较。结果其中老年组50例(90.91%)取石成功,非老年组中45例(90.00%)取石成功。两组患者中老年组取石成功数、手术时间、术后肛门排气时间、住院时间和术前术后肝功能及感染状况变化与非老年组比较差异均无统计学意义(P>0.05);老年组术后并发胰腺炎、胆管炎发生率均高于非老年组,两组比较差异有统计学意。老年组总的并发症发生率为高于非老年组(21.82%>10.00%)。结论对患有胆总管结石的老年人行内镜逆行胰胆管造影取石术与非老年组相比,二者疗效,手术时间,术后肛门排气时间,住院时间均相当,但老年组并发胰腺炎和胆管炎的比率稍高。更多还原

【Abstract】 Objective To investigate the clinical therapeutic effect and safey of endoscopic retrograde cholangio-pancreatography(ERCP) in the treatment of elderly patients with choledocholithiasis. Methods From June 2012 to September 2012, a total of 105 patients with choledocholithiasis were collected, including 55 cases of elderly patients(age ≥60 years old) and non elderly group(age < 60 years old) with 50 cases. To analysis the clinical therapeutic effect on the two groups, all patients underwent ERCP+EST+ENBD, and the operation related index and postoperative complications were compared between the two groups. Results The rate of stone extraction in elderly group with 50 cases was 90.91%, and the non-elderly group with 45 cases was 90%. compared the non-elderly group with older group, the differences in the number of stone extraction, operation time, postoperative anal exhaust time, and hospitalization time were not statistically significant(P > 0.05); The occurred rate of postoperative complications of pancreatitis, cholangitis in older group was higher than that in the non-elderly group(P < 0.05), the difference is statistically significant. The incidence of complications in the elderly group was higher than that in the non-elderly group(21.82%>10.00%). Conclusions For elderly patients with choledocholithiasis, the clinical effect of ERCP is accurate and safe, but the need for proper assessment of preoperative patients, attention to surgical complications. And it can improve the success rate of surgery.更多还原