急诊内镜治疗高龄急性化脓性胆管炎45例的疗效分析

Clinical efficacy of emergency endoscopic therapy for elderly patients with acute suppurative cholangitis

目的探讨急诊内镜对高龄急性化脓性胆管炎患者的临床治疗效果。方法选取2011年3月至2014年3月笔者参与操作的90例高龄急性化脓性胆管炎患者为研究对象,将其按照治疗方式的不同分为观察组和对照组,对照组患者行急诊外科手术治疗,观察组患者行急诊内镜手术治疗,对比分析两组患者的临床治疗效果。结果观察组患者治疗总有效率95.56%、总不良反应率8.89%均优于对照组之71.11%、26.67%(P<0.05),差异具有统计学意义。结论对急性化脓性胆管炎行内镜早期手术治疗能够促进病情恢复,降低了患者并发症率和死亡率。

Objective To evaluate the clinical efficacy of emergency endoscopic therapy for elderly pa-tients with acute suppurative cholangitis. Method Data of 90 elderly patients with acute suppurative cholangi-tis between March 2011 to March 2014 were enrolled. According to the methods of treatment, the patients were divided into research group and control group, patients in control group underwent emergency surgery, and pa-tients in observation group underwent emergency endoscopic therapy. The clinical therapeutic effect was com-pared between two groups. Results The total effective rate and adverse reaction rate in two groups were statis-tically significant（χ2=9.5724, P=0.0020;χ2=4.8108, P=0.0283 ）. Conclusion Early endoscopic treatment applied on acute suppurative cholangitis can promote the recovery of the patients and reduce complications.