摘要
Abstract
Objective:To analyze the risk factors of biliary bleeding after endoscopic retrograde cholangio pancreatography(ERCP)in patients with choledocholithiasis.Methods:Clinical data of 80 patients with common choledocholithocalculus undergoing ERCP were retrospectively analyzed from Lushan People's Hospital and the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from July 2020 to December 2023,and were divided into a bleeding group(n=20)and a non-bleeding group(n=60)according to whether there was biliary bleeding after ERCP.The two groups of general data were collected,and the general data was used as the research factor for univariate analysis,and the factors with statistical differences were analyzed by multivariate Logistic regression.Results:The incidence of biliary tract hemorrhage was 25.00%(20/80)in 80 patients with choledocholitis undergoing ERCP.Compared with the non-bleeding group,the bleeding group had longer stone diameter,higher incidence of acute biliary pancreatitis,preoperative biliary tract infection,embedded stones in the ampulla,and diverticula around the 12th rectum,with statistical significance(P<0.05).Logistic regression analysis showed that length of stone diameter,acute biliary pancreatitis,preoperative biliary tract infection,ampulla embedding stones,and twelve perirectal diverticulum were independent risk factors for biliary tract hemorrhage in patients with biliary tract stones undergoing ERCP(P<0.05 and OR>1).Conclusion:The complications of biliary tract hemorrhage in patients with choledocholithiasis undergoing ERCP are related to the length of stone diameter,acute biliary pancreatitis,biliary tract infection,imbedded stones in the ampulla,and twelve perirectal diverticulum.关键词
胆总管结石/内镜逆行胰胆管造影术/胆道出血/危险因素Key words
Common bile duct calculi/Endoscopic retrograde cholangio pancreatography/Biliary tract hemorrhage/Risk factor分类
医药卫生
