应用ERCP治疗高龄胆总管结石的临床研究

Clinical Study of ERCP's Application on the Treatment of Elderly Choledocholithiasis

目的:探讨应用ERCP治疗高龄胆总管结石的临床疗效。方法:2007年3月至2012年1月我院应用ERCP治疗75岁以上胆总管结石患者的临床资料70例,设为观察组,收集其病因、治疗效果及相关并发症发生情况,与同期行传统手术(对照组)治疗高龄患者的临床资料进行对比性分析。结果:观察者总体有效率为94.3%(66/70),对照组为95.7%(67/70);观察者较对照组手术时间明显缩短(P<0.05)、并发症率明显降低(P<0.05),住院时间明显缩短(P<0.05)。结论:应用ERCP治疗高龄胆总管结石效果确切,同时可降低并发症发生率、缩短住院时间,高龄不应作为ERCP治疗胆总管结石的禁忌。

Objective： To explore the application of ERCP for elderly patients with bile duct stones. Method： Our hospital in Mar. 2007 to Jan. 2012, ERCP clinical data of 70 cases of the treatment of common bile duct stones in patients over the age of 75 was set to the observation group, collected its etiology, treatment effects and complications, conventional surgery with the same period （ control group ） in the treatment of elderly patients with the clinical data for comparative analysis. Result： Observer overall response rate was 94.3% （66/70）, the control group was 95.7% （67/70） ; operative time was significantly shorter （ P 〈0.05 ） than the control group, the complication rate was significantly lower （ P 〈0.05 ）. The hospital stay was significantly shorter （ P 〈0.05 ）. Conclusion： ERCP treatment exact effects of old age common bile duct stones, can reduce the incidence of complications at the same time, shorter surgery and hospitalization time, senior citizens should not be as ERCP treatment of common bile duct stones taboo.