老年急性胆管炎的内镜治疗体会

Treatment experience of acute cholangitis of the old patients under endoscopy

目的 探讨老年急性胆管炎内镜治疗的作用。方法 对 4 5例发病年龄较大 ,伴发病较多 ,手术麻醉风险较大的急性胆管炎病人行内镜治疗 ,包括逆行胰胆管造影 (ERCP) ,鼻胆管引流(ENBD) ,乳头括约肌切开 (EST)及取石术。结果 4 5例内镜治疗均获成功 ,其成功率为 10 0 % ,对胆管炎治疗的治愈率为 88.4 %。结论 老年急性胆管炎应首选内镜胆道引流或加上乳头括约肌切开术 (EST) ,其是一种安全、操作时间短、无需麻醉、疗效高的处理方法。

Objective To explore the effectiveness of endoscopic treatment in acute cholangitis of the old patients.Methods Endoscopic therapy was given to 45 old patients with acute cholanhitis associated with several diseases and with high anesthesia risk. The therapy included ERCP, ENBD, EST and lithotomy.Results All cases were successful. The curative rate of cholangitis was 64.4 % . Conclusions Endoscopic biliary tract drainage or combined with EST is the first choice to acute cholangitis of old patients, which is a safe, quick and effective therapy.