高龄胆总管结石患者经内镜逆行胰胆管造影取石术的临床效果及安全性分析

Analysis of the clinical effect and safety of stone surgery endoscopic retrograde cholangiopan- creatography for common bile duct stones in elderly patients

目的：分析高龄胆总管结石患者经内镜逆行胰胆管造影取石术的临床效果及安全性。方法选取本院2010年8月~2011年11月收治的34例高龄胆总管结石患者,给予患者内镜逆行胰胆管造影取石术治疗,观察患者临床疗效,分析其安全性。结果34例患者通过内镜逆行胰胆管造影取石术,均获取成功。34例患者取石成功率为91.2%；其中一次取石成功率为82.4%；术后2例患者局部渗血,1例患者尿淀粉酶一过性升高,1例患者经对症治疗痊愈；通过1年随访,3例患者结石复发,2例患者放置塑料支架,结石体积缩小,经内镜逆行胰胆管造影取石术取出。结论内镜逆行胰胆管造影取石术治疗胆总管结石起到显著疗效,具有较高安全性,尤其是高龄患者,保证了患者身心健康。

Objective To analyze the clinical effect and safety of stone surgeryendoscopic retrograde cholangiopancreatography for common bile duct stones in elderly patients. Methods 34 patients with common bile duct stones in elderly patients in our hospital from August 2010 to November 2011 were given to patients, endoscopic retrograde cholangiopancreatography lithotomy treatment, clinical observation of patients, the security analysis. Results 34 patients byendoscopic retrograde cholangiopancreatography lithotomy, mean success. In 34 patients with success rate of stone removal was 91.2%;one time success rate of stone removal was 82.4%;after 2 cases of patients with local bleeding, 1 cases of patients with urinary amylase a transient increase, 1 patient were cured by symptomatic treatment;through 1 years of follow-up, 3 cases with recurrence, 2 cases were placed plastic bracket calculus, volume reduction, endoscopic retrograde cholangiopancreatography stone removal. Conclusion Endoscopic retrograde cholangiopancreatography lithotomy for common bile duct stones has significant curative effect, higher safety, especially in elderly patients,to ensure their physical and mental health.