CAJ | 학술논문

目的：通过比较不同年龄段患者内镜逆行胰胆管造影（endoscopic retrograde cholangiopancre-atography, ERCP）的应用情况，分析和探讨ERCP在高龄患者中应用的有效性和安全性。方法2010年1月～2012年12月，本院进行ERCP操作的患者169例，按年龄分组，其中≥70岁的患者（高龄组）83例，<70岁的患者（非高龄组）86例。记录患者ASA分级、基础疾病、ERCP操作以及并发症情况，对结果进行统计分析。结果169例患者进行了181次ERCP操作。例数、性别比例在两组间差异无统计学意义（P>0.05）。ERCP操作成功率、并发症发生率两组比较差异无统计学意义（P>0.05）。高龄组患者ASA分级比非高龄组高，差异有统计学意义（P<0.05）。高龄组胆道系统结石及胰腺或胆道恶性肿瘤显著高于非高龄组（P<0.05）。结论高龄组进行ERCP操作能够取得和非高龄组一样的疗效，ERCP在高龄患者中的应用是安全、有效的。
목적：통과비교불동년령단환자내경역행이담관조영（endoscopic retrograde cholangiopancre-atography, ERCP）적응용정황，분석화탐토ERCP재고령환자중응용적유효성화안전성。방법2010년1월～2012년12월，본원진행ERCP조작적환자169례，안년령분조，기중≥70세적환자（고령조）83례，<70세적환자（비고령조）86례。기록환자ASA분급、기출질병、ERCP조작이급병발증정황，대결과진행통계분석。결과169례환자진행료181차ERCP조작。례수、성별비례재량조간차이무통계학의의（P>0.05）。ERCP조작성공솔、병발증발생솔량조비교차이무통계학의의（P>0.05）。고령조환자ASA분급비비고령조고，차이유통계학의의（P<0.05）。고령조담도계통결석급이선혹담도악성종류현저고우비고령조（P<0.05）。결론고령조진행ERCP조작능구취득화비고령조일양적료효，ERCP재고령환자중적응용시안전、유효적。
Objective To compare the safety and efficacy of endoscopic retrograde cholangiopancre-atography (ERCP) in elderly and non-elderly patients. Methods One hundred and sixty nine patients who un-derwent ERCP between Jan. 2010 and Dec. 2012 were retrospectively studied. Eighty three patients were 70 years of old or over(elderly group) and 86 patients were 69 years of age or younger (non-elderly group). Data about ASA degree, primary diseases, ERCP procedures, complications were recorded and compared between the two groups. Results One hundred and sixty nine cases were undergone 181 ERCP procedures. The age, sex were similar in both groups. The overall therapeutic ERCP successful rate and complication rate were simi-lar in both groups; elderly group had a higher ASA degree than non-elderly group(P<0.05); compared with patients in non-elderly group, patients in elderly group had more malignant lesions and duodenal peripapilla diverticulum, respectively(P<0.05). Conclusion Diagnostic and therapeutic ERCP have similar outcomes and complications rate in both elderly and non-elderly patients. ERCP is effective and safe in elderly patients.