中华胰腺病杂志
中華胰腺病雜誌
중화이선병잡지
CHINESE JOURNAL OF PANCREATOLOGY
2009年
2期
92-94
,共3页
胰胆管造影术,内窥镜逆行%胆道疾病%引流术%老年人
胰膽管造影術,內窺鏡逆行%膽道疾病%引流術%老年人
이담관조영술,내규경역행%담도질병%인류술%노년인
Cholangiopancreatography,endoscopic retrograde%Biliary tract diseases%Drainage%Aged
目的 探讨逆行胰胆管造影术(ERCP)治疗70岁以上老年人胆道梗阻性疾病的临床应用价值.方法 对2001年1月至2007年12月行ERCP胆管引流术治疗的218例老年患者(≥70岁)和189例非老年患者(＜70岁)进行回顾性比较分析.结果 老年组平均年龄为(79±9)岁,非老年组为(56±7)岁.老年组和非老年组的胆管引流成功率分别为96.8%(211/218)和97.4%(184/189);ERCP操作时间分别为(55±30)min和(58±34)min;并发症发生率分别为16.1%(35/218)和13.8%(26/189);病死率分别为1.83%(4/218)和1.06%(2/189),两组间均无统计学差异.但老年组重复行ERCP治疗35例(16.1%),显著高于非老年组的5.8%(11/189).结论 ERCP胆管引流术治疗老年胆道梗阻性疾病具有一定的临床应用价值,是一种创伤小、安全、有效的治疗方法.
目的 探討逆行胰膽管造影術(ERCP)治療70歲以上老年人膽道梗阻性疾病的臨床應用價值.方法 對2001年1月至2007年12月行ERCP膽管引流術治療的218例老年患者(≥70歲)和189例非老年患者(＜70歲)進行迴顧性比較分析.結果 老年組平均年齡為(79±9)歲,非老年組為(56±7)歲.老年組和非老年組的膽管引流成功率分彆為96.8%(211/218)和97.4%(184/189);ERCP操作時間分彆為(55±30)min和(58±34)min;併髮癥髮生率分彆為16.1%(35/218)和13.8%(26/189);病死率分彆為1.83%(4/218)和1.06%(2/189),兩組間均無統計學差異.但老年組重複行ERCP治療35例(16.1%),顯著高于非老年組的5.8%(11/189).結論 ERCP膽管引流術治療老年膽道梗阻性疾病具有一定的臨床應用價值,是一種創傷小、安全、有效的治療方法.
목적 탐토역행이담관조영술(ERCP)치료70세이상노년인담도경조성질병적림상응용개치.방법 대2001년1월지2007년12월행ERCP담관인류술치료적218례노년환자(≥70세)화189례비노년환자(＜70세)진행회고성비교분석.결과 노년조평균년령위(79±9)세,비노년조위(56±7)세.노년조화비노년조적담관인류성공솔분별위96.8%(211/218)화97.4%(184/189);ERCP조작시간분별위(55±30)min화(58±34)min;병발증발생솔분별위16.1%(35/218)화13.8%(26/189);병사솔분별위1.83%(4/218)화1.06%(2/189),량조간균무통계학차이.단노년조중복행ERCP치료35례(16.1%),현저고우비노년조적5.8%(11/189).결론 ERCP담관인류술치료노년담도경조성질병구유일정적림상응용개치,시일충창상소、안전、유효적치료방법.
Objective To investigate the role of ERCP in geriatric population (≥70 yr) with biliary obstruction.Methods 218 geriatric patients (≥70 yr) and 189 non-geriatric ones ( ＜70 yr) admitted during 2001.1～2007.12 who had undergone biliary drainage by ERCP were retrospectively studied.Results The mean ages in geriatric and non-geriatric group were 79±9 and 56±7 yr,respectively.The success rates of biliary drainage were 96.8% (211/218) and 97.4% (184/189) in geriatric and non-geriatric group,respectively.The procedure time of ERCP was (55±30)rain and (58±34)min in geriatric and non-geriatric group,respectively.The complication rates were 16.1% (35/218) and 13.8% (26/189),respectively.The mortality rates were 1.83% ( 4/218 ) and 1.06% ( 2/189 ),respectively.There were no statistically significant differences between the two groups.However,the re-intervention rates were 16.1% (35/218) in geriatric group,which was significantly higher than that of 5.8% (11/189) in non-geriatric group.Conclusions ERCP was a less invasive,safe and effective treatment option for geriatric patients with bile duct obstruction.
