急诊无X线透视治疗急性化脓性胆管炎的临床价值
The clinical value of endoscopic stent placement in the treatment of acute suppurative cholangitis without X-ray guided
靳海峰 1刘贞 1冯子坛 1冯佳 1郭丽丽 1马春柳 1刘珊 1张欣悦 1刘文格 1胡阳1
作者信息
- 1. 中国人民解放军联勤保障部队第九八○医院&白求恩国际和平医院消化内科,河北石家庄 050082
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摘要
[目的]探讨无X线透视急诊内镜下胆道支架置入术治疗急性化脓性胆管炎的安全性及临床价值.[方法]回顾性分析307例急性胆管炎患者的临床资料.根据手术方式,分为不透视组86例、透视组221例.比较2组患者的临床资料、并发症发生率及手术成功率.[结果]不透视组高血压、冠心病、服用抗凝药比例明显高于透视组,2组比较差异有统计学意义.前者手术操作时间远低于后者(P=0.000).2组均无穿孔及死亡患者,并发症及手术成功率比较均差异无统计学意义.[结论]无X线透视下行内镜下胆道支架置入术可有效解除急诊重症高危患者的胆道梗阻症状,手术成功率高,且不增加术后并发症发生率,在急诊患者中安全可靠.
Abstract
[Objective]To explore the safety and clinical value of emergency endoscopic biliary stent placement in the treatment of acute suppurative cholangitis without X-ray fluoroscopy guide.[Methods]This was a retrospective analysis on 307 patients with acute suppurative cholangitis.According to the se-verity of the disease and the way of surgery,they were divided into two groups,of which 86 cases in the non-X-ray group and 221 cases in the X-ray group.There was no perforation and death in both groups.There was no statistical difference between the two groups in complication and surgical success rate.[Results]The operation time in the non-X-ray group was much lower than the X-ray group(P=0.000).The proportion of patients with hypertension,coronary heart disease,and anticoagulants taken in the non-X-ray fluoroscopy group was significantly higher than that in the X-ray fluoroscopy group,and there were statistical differences.[Conclusion]Endoscopic biliary stent placement without X-ray can effec-tively relieve the symptoms of biliary obstruction in emergency high-risk patients with high success rate and without increasing the incidence of postoperative complications.
关键词
急性胆管炎/无X线透视/胆道支架Key words
acute cholangitis/no X-ray/high-risk and severe/biliary stent引用本文复制引用
出版年
2024
NETL
NSTL
万方数据