摘要
目的探讨内镜下十二指肠乳头肌切开术（EST）和内镜下鼻胆管引流术（ENBD）治疗高龄急性胆管炎病人的疗效。方法分析2000年1月～2005年10月78例高龄（≥70岁，按WHO老年人年龄分段）由结石引起的急性化脓性胆管炎病人内镜治疗的疗效和合并症。结粜内镜引流成功率100％，取石成功率达到88.5％，而且治疗后并发症发生率明显低于开腹手术。结论内镜治疗高龄急性化脓性胆管炎的疗效与手术相仿，但安全性明显高于后者。
Objective To explore the curative effect of elder paitients with acute purulent eholangitis treated by F.ST associate with ENBD. Methods 78 elder patients（≥70years）with acute purulent cholangitis evoked by concretion between January 2000 to October 2005 were chosen and performed with EST associated with ENBD. Then the effect and combining symptom were statistic analyzed. Results The draining successful rate was 100%, and the successful rate of calculus removed technique was 88. 5%, respectively. The combining symptom frequency after therapy was significantly lower than operation performed through abdomen. Conclusion The effect of elder paitients with acute purulent cholangitis treated by EST associated with ENBD is similar to operation, but the safety is significantly higher than operation.
出处
《腹部外科》
2006年第1期26-27,共2页
Journal of Abdominal Surgery
