微创医学2017，Vol.12Issue(2)：166-169,4.DOI:10.11864/j.issn.1673.2017.02.03
ERCP治疗老年人胆总管结石的临床研究
Clinical analysis of ERCP in treatment of elderly patients with common bile duct stones
摘要
Abstract
Objective To investigate the efficacy and safety of therapeutic ERCP in the treatment of elderly patients with common bile duct stones.Methods The data of elderly patients with pancreaticobiliary diseases and underwent endoscopic retrograde cholangiopancreatography (ERCP) was retrospective analyzed.The elderly patients were divided into three groups.Patients in Group A were older than 80 years , group B were aged 60 to 80 years old , group C were aged 18 to 60 years old.The ERCP operation mode, treatment success rate, complication rate and mortality among the three groups were compared.Result 267 times of ERCP were performed to treat 236 common bile duct stones patients.Group A were underwent ERCP operation 20 times, group B were 110 times and group C 137 times of operation.ERCP cured rate among the 3 group were 100%, 99% and 100% respectively, the success rate of stone removing were 70.6%, 75%, 91.9%.ERCP treatment efficiency, postoperative pancreatitis, cholangitis, bleeding and other complications had no significant difference the among three group, no perforation and death caused by ERCP.Seven patients occur pancreatitis (two in group B and five in group C), and one occur cholangitis after operation.Conclusion ERCP is safe and effective in the treatment of elderly patients with common bile duct stones under the condition of pre-treatment evaluation and prevention.关键词
ERCP/胆总管结石/老年人Key words
ERCP/Common bile duct stones/Elderly patients分类
医药卫生引用本文复制引用
郭晓艳,姜海行,覃山羽,宁红建,陶霖,罗薇,卢东红,苏思标,覃凤燕..ERCP治疗老年人胆总管结石的临床研究[J].微创医学,2017,12(2):166-169,4.基金项目
国家自然科学基金(编号:81660107 （）
31560257) （）
广西卫计委科研课题(编号:Z2016729) （编号:Z2016729）
