CAJ | 학술논문

目的探讨在急性梗阻化脓性胆管炎患者中运用早期内镜介入和外科手术治疗的临床效果.方法选择近期到本院诊治的72例急性梗阻化脓性胆管炎患者充当研究的受试对象,并根据治疗方案差异性等分成两组,对照组36例通过外科开腹手术治疗,观察组36例实施早期内镜介入处理,针对两组的临床处理情况进行观察与分析.结果相对对照组而言,观察组处理后的治愈率明显更高,腹痛与黄疸恢复时间明显缩短,住院时间明显缩短,术后合并症率明显降低,差异有统计学意义(P＜0.05).经相应方案处理后,观察组的IL-4、IL-8和CRP相比对照组明显更低,差异有统计学意义(P＜0.05).结论选择早期内镜介入术对急性梗阻化脓性胆管炎患者展开治疗,相比外科开腹术疗效更高,更利于炎症的清除,更具有推广意义.
목적 탐토재급성경조화농성담관염환자중운용조기내경개입화외과수술치료적림상효과.방법 선택근기도본원진치적72례급성경조화농성담관염환자충당연구적수시대상,병근거치료방안차이성등분성량조,대조조36례통과외과개복수술치료,관찰조36례실시조기내경개입처리,침대량조적림상처리정황진행관찰여분석.결과 상대대조조이언,관찰조처리후적치유솔명현경고,복통여황달회복시간명현축단,주원시간명현축단,술후합병증솔명현강저,차이유통계학의의(P＜0.05).경상응방안처리후,관찰조적IL-4、IL-8화CRP상비대조조명현경저,차이유통계학의의(P＜0.05).결론 선택조기내경개입술대급성경조화농성담관염환자전개치료,상비외과개복술료효경고,경리우염증적청제,경구유추엄의의.
Objective To study the clinical effect of early endoscopic intervention and surgical operation in the treatment of acute obstruction suppurative cholangitis.Methods 72 cases of acute obstruction suppurative cholangitis in our hospital were selected as research subjects, and divided into two groups equally according to different treatment methods.36 cases in control group were treated with surgical laparotomy, while 36 cases in observation group were treated with early endoscopic intervention treatment.Observed clinical efficacy of two groups.Results The cure rate of observation group after processing was higher than that of control group, the recovery time of abdominal pain and jaundice were shorter than those of control group, hospitalization time was shorter than that of control group, the rate of postoperative complications was lower than that of control group, the levels of IL-4, IL-8 and CRP were lower than those of control group, with statistically significant differences (P＜0.05).Conclusion Compared with surgical operation, early endoscopic intervention has better curative effect in the treatment of acute obstruction suppurative cholangitis, which is helpful to the removal of the inflammation, worthy of clinical promotiom.