ERCP技术在高龄胆总管结石患者中的应用及疗效

The application and efficacy of the ERCP techniques in elderly patients with common bile duct stones

目的探讨ERCP技术在高龄胆总管结石患者中的临床应用及疗效。方法回顾性分析安徽医科大学附属省立医院2006年3月至2010年11月195例(≥75岁)高龄胆总管结石患者行ERCP治疗的临床疗效及相关并发症的发生率。结果 195例高龄胆总管结石患者中,24例急诊行鼻胆管引流,171例患者慢诊行ERCP治疗;慢诊患者中,141例一次操作取净结石,一次性结石取净率82.46%,14例近期二次取净结石,两次结石取净率为90.64%。发生近期并发症13例,并发症发生率6.67%。ERCP治疗后患者的肝功能及感染状况均有好转。结论 ERCP取石技术对于高龄胆总管结石患者是安全、有效的治疗手段。

Objective To study the clinical application and curative effect of the ERCP technology in bravery manager pa- tients. Methods a retrospective analysis of Anhui provincial hospital affiliated Anhui medical university in March 2006 to November 2010 195 patients （75 years or older） quartile bravery manager undergo ERCP treatment in patients with clinical effectiveness and re- lated the incidence of complications. Results 195 cases of common bile duct stones in patients, 24 cases of nasal biliary drainage e- mergency, 171 patients with slow-ERCP diagnosis line treatment. Slow clinic patients, 141 patients with one-time take net stone, a one- time 82.46% net rate take stones; 14 cases of recent second take net stones, two stones take net rate was 90. 64%. Recent complica- tions occurred in 13, complication rate was 6. 67%. Treatment after ERCP, the patient＇s liver function and infectious status has im- proved. Conclusion ERCP stone-free technology for bravery manager Stone of Elderly patients is safe and effective in the treatment of means.