无痛ERCP和普通ERCP治疗胆总管结石的临床应用比较

The application value of painless ERCP and ordinary ERCP in the treatment of choledocholithiasis

目的评价无痛ERCP和普通ERCP在胆总管结石患者治疗中的应用价值.方法回顾性分析2016年3月~2017年11月我院开展的无痛ERCP和同期开展常规镇静镇痛ERCP共61例,比较两组患者在手术时间、手术后住院时间、住院总费用、并发症发生率和患者在治疗过程中呼吸抑制、体动以及术中、术后恶心呕吐等指标.结果无痛ERCP比普通ER-CP在手术时间上明显缩短,患者在术中发生体动和恶心呕吐方面,无痛ERCP优于普通ERCP两组,相比差异有统计学意义.结论ERCP+EST取石是治疗胆总管结石的一种有效方法,具有创伤小、恢复快等优点,无痛ERCP能明显缩短手术时间,改善患者就医体验,没有增加患者经济负担和并发症发生率,临床上值得推广应用.

Objective To evaluate the application value of painless ERCP and ordinary ERCP in the treatment of choledocholithiasis.Methods A retrospective analysis was made on 61 patients with painless ERCP and ordinary ERCP from March 2016 to November 2017.The operation time,hospital stay,total hospitalization expenses,incidence of complications,respiratory depression,physical activity,nausea and vomiting during and after operation were compared between the two groups.Results Painless ERCP is shorter than ordinary ERCP in operation time.In terms of physical movement and nausea and vomiting during operation,painless ERCP is superior to ordinary ERCP in two groups.The difference is statistically significant.Conclusion ERCP+EST lithotomy is an effective method for choledocholithiasis.It has the advantages of small trauma and quick recovery.Painless ERCP can significantly shorten the operation time,improve the patient’s medical experience,without increasing the economic burden and the incidence of complications.It is worth popularizing and applying in clinic.