摘要
目的研究内镜逆行胰胆管造影(ERCP)取石术治疗高龄胆总管结石的临床价值。方法研究时段2017年2月-2019年4月,研究对象是吉林市人民医院接收的88例高龄胆总管结石患者,采纳随机数字表法分观察组(ERCP取石术)与对照组(常规外科手术)各44例,比较两组手术指标、血清指标、并发症及取石成功率。结果两组术前血清指标无统计学意义,P>0.05;术后与对照组比较,观察组CA19-9、CRP及PCT指标低,组内数据有差异;手术时间、腹痛缓解、黄疸消退及住院时间短;取石成功率高,并发症率低(P<0.05)。结论ERCP取石术治疗高龄胆总管结石能提高整体疗效及取石成功率,便于改善预后。
Objective To study the clinical value of endoscopic retrograde cholangiopancreatography(ERCP)in the treatment of elderly patients with common bile duct stones.Methods From February 2017 to April 2019,88 elderly patients,who with choledocholithiasis received in Jilin People s hospital,were randomly divided into clinical observing group(ERCP)and control group(conventional surgery),each group 44 cases,and the operation indexes,serum indexes,complications and success ratio in stone extraction between the two groups were compared.Results There was no statistical significance in serum level before operation between the two groups(P>0.05).After operation,compared with the control group,the indexes of CA19-9,CRP and PCT in the observation group were decreased,and it varied dramatically in the groups.The operation time,abdominal pain relief,jaundice regression and hospitalization time in the observing group were significantly shortened;the success ratio in stone extraction was high,and the complication ratio was low(P<0.05).Conclusion ERCP for choledocholithiasis in the elderly can improve effect and the success ratio in stone removal,which is instrumental in the prognosis.
作者
宋晓晖
杨志平
SONG Xiaohui;YANG Zhiping(Department of Gastroenterology,Affiliated Hospital,Beihua University,Jilin City,Jilin Province,132013;Digestive Center of Jilin People s Hospital,Jilin City,Jilin Province,132011,China)
出处
《吉林医药学院学报》
2020年第2期84-86,共3页
Journal of Jilin Medical University
关键词
ERCP取石术
高龄
胆总管结石
炎症水平
并发症
ERCP lithotomy
old age
choledocholithiasis
inflammatory level
complications