内镜治疗是伴发MODS的重症急性胆管炎患者的首选治疗方案

Endoscopic treatment is preferred therapy for patient with acute cholangitis of severe type accompanying with MODS

目的探讨内镜治疗对伴发多器官功能不全综合征(MODS)的重症急性胆管炎(ACST)患者的临床应用价值.方法回顾性分析1987年10月～2003年10月期间收治的治疗前即伴发MODS的ACST患者54例,比较内镜治疗与外科手术治疗方法的疗效.结果内镜治疗组无论在治愈率,围手术期内死亡率,以及总治疗时间和胆道引流时间均明显优越于外科手术治疗组(P＜0.05,P＜0.01).结论内镜治疗是对伴发多器官功能不全综合征的重症急性胆管炎患者的首选治疗方法.

Probing into clinical application value of endoscopic therapy for patient with the acute cholangitis of severe type accompanying MODS. Comparing the curative effect between endoscopic therapy with surgical therapy, 54 patients from October 1987 to October 2003 with ACST accompanying MODS were reviewed analyzed. No matter the cure rate, the death rate during the operation period, even general treatment time and bile duct drainage time, all aspects in endoscope group were in evidence superior to those in surgery group, even greatly prominent difference. [Conclusions] The endoscope therapy is the first selection for treatment the patient with acute cholangitis of severe type, accompanying MODS.