摘要
目的比较不同年龄段胆总管结石患者接受内镜逆行胰胆管造影术(ERCP)治疗的效果。方法回顾性分析2016年7月至2018年6月在我院接受ERCP治疗的231例胆总管结石患者的临床资料,根据年龄将其分为>80岁组、60～80岁组及<60岁组。比较三组患者的一般资料、治疗效果及并发症发生情况。结果 <60岁组患者的结石大小、高血压、糖尿病及心脏疾病发病率显著优于其他两组(P<0.05)。<60岁组的一次取石成功率显著高于其他两组(P<0.05)。三组各并发症发生率无显著差异(P>0.05)。结论不同年龄段胆总管结石患者接受ERCP治疗均能获得满意效果,但高龄患者的身体一般情况较差,故应重视术前评估。
Objective To compare the effect of endoscopic retrograde cholangiopancreatography(ERCP) for choledocholithiasis in different age groups.Methods The clinical data of 231 patients with choledocholithiasis treated by ERCP from July 2016 to June 2018 were retrospectively analyzed.They were divided into >80 years old group,60-80 years old group and <60 years old group.The general information,therapeutic effects and complications of the three groups were compared.Results The stone size and the incidences of hypertension,diabetes mellitus and heart disease in the <60 years old group were significantly better than those in the other two groups (P<0.05).The success rate of one-time lithotomy in the <60 years old group was significantly higher than that in other two groups (P<0.05).There was no significant difference in the incidences of complications among the three groups (P>0.05).Conclusion The patients with choledocholithiasis in different age groups can get satisfactory results after ERCP treatment,but the general condition of the elderly patients is poor,so preoperative evaluation should be emphasized.
作者
李军辉
LI Jun-hui(Gastroenterolog Department,Yangling Demonstration Zone Hospital,Yangling 712100,China)
出处
《临床医学研究与实践》
2019年第2期36-37,共2页
Clinical Research and Practice
关键词
胆总管结石
内镜逆行胰胆管造影术
年龄
choledocholithiasis
endoscopic retrograde cholangiopancreatography
age
