摘要
目的 探讨内镜序贯治疗老年急性重症胆管炎 (ACST)的临床应用价值。方法 收集深圳市人民医院近 9年收治的 36例老年ACST患者资料 ,分成急诊手术组和内镜序贯治疗组。根据急诊期和平稳期的多项指标结果比较两组间的治疗效果。结果 与急诊手术组相比 ,内镜序贯治疗将死亡率由 2 7.8%降至 5 .6% ,并发症发生率由 61.1%降至 16.6% ,术前准备时间由 12 .6h缩短至 7.5h ,术后恢复时间由 6.5d缩短至 3.5d ,治疗间隔时间由 43d缩短至 11d ,总治疗时间由 45d缩短至 2 3d。结论 内镜序贯治疗是老年ACST的理想治疗方案 ,具有微创、有效。
Objective To investigate the clinical evaluation on endoscopic sequential therapy for senile ACST.Methods The 36 cases of senile ACST were collected and divided into two groups:emergency operation and endoscopic sequential therapy.The results of treatment were compared between two groups.Result Comparing with emergency operation, the mortality of endoscopic sequential therapy was reduced from 27.8%to 5.6%,the rate of complication from 61.1% to 16.6%,the periods of preoperative preparation was shorten from 12.6 hours to 7.5 hours,the periods of postoperative recovery from 6.5 days to 3.5 days,the intervals between two treatments from 43 days to 11 days,the periods of complete treatment from 45 days to 23 days.Conclusion Endoscopic sequential therapy was the ideal alternative for senile ACST,which is characterized by minimal injury,effectiveness and thoroughness.
出处
《临床外科杂志》
2003年第1期14-15,共2页
Journal of Clinical Surgery
