摘要
目的:总结和分析老年急性梗阻性化脓性胆管炎的治疗情况,以期提高临床治疗效果。方法:统计分析并比较我院实施内镜和介入治疗技术治疗老年急性脑梗阻性化脓性胆管炎前(A组)后(B组)5年的患者治愈、病死情况和并发症发生情况。结果:A组75例中急诊手术率70.67%,治愈率86.67%,病死率13.33%,并发症发生率30.67%;B组100例中急诊手术率21.00%,治愈率96.00%,病死率4.00%,并发症发生率13.00%;B组急诊手术率以及并发症发生率均低于A组,治愈率明显高于A组,两组在急诊手术率、治愈率方面差异显著(P<0.05)。结论:老年急性梗阻性化脓性胆管炎病情进展迅速,应积极进行以手术为主的治疗解除梗阻,PDCD、ERCP以及鼻胆管引流等治疗措施能降低病死率,改善预后。
Objective：To investigate the treatment of elderly patients with acute obstructive suppurative cholangitis and improve clinical efficacy. Methods： Clinical Compared the patients cured, dead situation and complication occurrence before and after 5 years in our hospital endoscopy and interventional therapy in the treatment of elderly patients with acute cerebral obstructive suppurative cbolangitis. Results： In 75 cases of A group, the emergency surgery rate was 70.67%, the cure rate 86.67%, mortality 13.33%, the complication rate 30.67% ;In 100 cases of B group, the emergency surgery rate was 21.00% ,the cure rate 96.00% ,mortality rate 4.00% ,concurrency disease incidence 13.00%. The emergency surgery rate of A group was higher than the B group and the cure rate was lower than the B group （ P 〈 0.05 ）. Conclusion ： The progression of elderly acute obstructive suppurative cholangitis is quickly to strengthen, the treatment of complications and actively treatment to surgery to remove the obstruction should be taken. PTCD, ERCP, and nasal biliary drainage treatment measures to reduce mortality and improve prognosis.
出处
《广州医学院学报》
2013年第3期107-109,共3页
Academic Journal of Guangzhou Medical College
关键词
急性梗阻性化脓性胆管炎
临床疗效
acute obstructive suppurative cholangitis
clinical efficacy
