ERCP胆道支架植入术后发生急性胆囊炎的危险因素

Risk Factors on Acute Cholecystitis after ERCP Biliary Stent Implantation

目的探讨内镜下逆行胰胆管造影(ERCP)胆道支架植入术后急性胆囊炎(AC)发生的危险因素。方法回顾性分析行ERCP胆道支架植入术治疗的48例患者的临床资料。根据术后是否发生AC分为两组,分析AC发生的危险因素。结果多因素分析显示,年龄、术前急性结石性胆囊炎(ACC)反复发作、合并糖尿病是影响ERCP胆道支架植入术后发生AC的高危因素(P<0.05,且OR>1)。结论年龄、术前ACC反复发作及合并糖尿病是影响术后AC发生的重要因素,临床需加以重视,并予以相应干预对策,以减少急性胆囊炎发生。

ObjectiveThis paper aims to investigate the risk factors of acute cholecystitis after endoscopic retrograde cholangiopancreatography(ERCP) biliary stent implantation.Methods48 patients who received ERCP biliary stent implantation were retrospectively analyzed and divided into two groups according to whether acute cholecystitis occurred after operation,and the risk factors of acute cholecystitis were analyzed.ResultsMultivariate analysis showed that age,recurrent preoperative acute calculous cholecystitis and diabetes mellitus were high-risk factors for acute cholecystitis after ERCP biliary stent implantation(P<0.05 andOR>1).ConclusionAge,recurrent preoperative acute calculous cholecystitis and diabetes mellitus are important factors affecting the occurrence of postoperative acute cholecystitis,which should be paid more attention to clinically,and corresponding intervention countermeasures should be given to reduce the occurrence of acute cholecystitis.