内镜下逆行胰胆管造影支架植入治疗梗阻性黄疸术后并发急性胆囊炎的危险因素分析

Analysis of related factors and prevention methods of acute cholecystitis after endoscopic retrograde cholangiopancreatography stent implantation for obstructive jaundice

目的探讨内镜下逆行胰胆管造影(ERCP)支架植入术治疗梗阻性黄疸后并发急性胆囊炎的危险因素。方法将2014-03—2016-12间收治的因梗阻性黄疸成功行ERCP支架植入术的87例患者作为研究对象,收集所有患者的临床资料,采用单因素和多因素Logistic回归分析术后并发急性胆囊炎的危险因素。结果 6例梗阻性黄疸患者在接受ERCP支架植入术后并发急性胆囊炎,发生率为6.90%。多因素分析结果表明,术前急性结石性胆囊炎反复发作、合并胆结石与术后急性胆囊炎的发生存在明显相关性。结论术前急性结石性胆囊炎反复发作是ERCP支架植入治疗梗阻性黄疸术后并发急性胆囊炎的独立危险因素。提高对术后并发急性胆囊炎的认识及重视,做好相关的预防措施有利于降低该并发症的发生率。一旦出现要及时诊断、早期处理。

Objective To analyze the related factors of acute cholecystitis after endoscopic retrograde cholangiopancreatography stentimplantation for obstructive jaundice. Methods A total of 87 patients who underwent endoscopic retrograde cholangiopancreatography were enrolled in the study of obstructive jaundice from March 2014 to December 2016. The clinical data of all patients were collected. then single factoranalysis was performed,and then multivariate logistic regression was used to analyze the independent risk factors of acute cholecystitis after operation,and the prevention and cure methods were also discussed. Results 6 cases of the obstructive jaundice patients got acute cholecystitisafter ERCP stent implantation,and the incidence was 6 90%. Multivariate analysis showed that there was a significant correlation between therecurrence of acute calculous cholecystitis,combined with gallstones and the occurrence of acute cholecystitis. Conclusion Improving theawareness and attention of postoperative acute cholecystitis and doing the relevant preventive measures are conducive to reducing the incidence ofthis complication,once it occurs we should in time make a diagnosis and early treatment.