急诊内镜介入与开腹手术治疗结石性急性梗阻化脓性胆管炎的临床对比研究

Comparison Study of Emergency Endoscopic and Laparotomy in Treatment of Calculous Acute Obstruction Suppurative Cholangitis

目的观察对比急诊内镜介入与开腹手术治疗结石性急性梗阻化脓性胆管炎的临床效果。方法选取本院收治的40例结石性急性梗阻化脓性胆管炎患者,按照入院顺序分为对照组和观察组,各20例。观察组采用急诊内镜介入模式,对照组采用常规开腹手术模式,对比两种方法的效果。结果观察组胃肠道功能恢复时间和住院时间均短于对照组(P<0.05)。结论急诊内镜介入结石性急性梗阻化脓性胆管炎具有较高的治愈率,可缩短胃肠道功能恢复时间和住院时间。

Objective To compare the effects of emergency endoscopic and laparotomy in the treatment of calculous acute obstruction suppurative cholangitis. Methods Forty patients with acute gallstone obstructive suppurative cholangitis were divided into control group and observation group according to the order of admission,20 cases in each group. The observation group used the emergency endoscopic,and the control group used conventional laparotomy,the effect between the two methods were observed. Results The recovery time and hospitalization time of gastrointestinal function in the observation group were shorter than that of control(P<0.05). Conclusion Emergency endoscopic intervention for acute obstructive suppurative cholangitis with stone has a high cure rate and could shorten the recovery time of gastrointestinal function and hospitalization time.