急性梗阻化脓性胆管炎内镜治疗的临床分析

Clinical observation on endoscopic therapy for acute obstructive suppurative cholangitis

目的观察内镜治疗急性梗阻化脓性胆管炎的效果。方法选择黑龙江省医院附属消化病医院消化科应用内镜治疗的急性梗阻化脓性胆管炎患者30例,在治疗1周后观察患者的临床表现以及转氨酶(ALT)、总胆红素(TBIL)、谷氨酰转移酶(GGT)、白细胞(WBC)的变化情况。结果内镜治疗的总有效率为90.3%,急性梗阻化脓性胆管炎患者应用内镜治疗后的ALT、TBIL、GGT、WBC分别与治疗前比较,差异有统计学意义,P<0.05。结论应用内镜治疗的急性梗阻化脓性胆管炎效果显著,治疗方法简单,安全可行,并发症少,值得推广和应用。

Objective To evaluate the effect of endoscopic therapy for acute obstructive suppurative cholangitis.Methods Totally 30 patients with acute obstructive suppurative cholangitis received endoscopic therapy and after 1 week,their clinical manifestations and the changes of transaminase（ALT）,total bilirubin（TBIL）,glutamyl transferase（GGT）,and white blood cells（WBC） were observed.Results The total effective rate was 90.3%,and the results of examinations of ALT,TBIL,GGT,and WBC improved and compared with those before the therapy,the differences were statistically significant,all P〈0.05.Conclusions The endoscopic therapy is effective in the treatment of acute obstructive suppurative cholangitis,and it is simple,feasible and safe.