Application effect of needle knife fenestration in patients with acute obstructive suppurative cholangitis
Objective To compare the clinical effects of needle knife fenestration and arcuate knife pre-cut operation in patients with acute obstructive suppurative cholangitis(AOSC)treated by endoscopic retrograde cholangiopancreatography(ERCP).Methods The clinical data of 42 patients with AOSC who underwent difficult intubation during ERCP admitted in the hepatobiliary,pancreatic and spleen surgery department of Baoji People's Hospital from December 2016 to December 2021 were retrospectively analyzed.Eighteen patients who underwent needle knife fenestration were included in needle knife group,and 24 patients who underwent arcuate knife pre-cut operation were included in arcuate knife group.The intraoperative related indicators(success rate of intubation,intubation time and operation time),clinical related indicators(treatment cost,hospitalization days)and postoperative complications were compared between the two groups.Results The total success rate of intubation in AOSC patients was 92.86%.There was no significant difference in the success rate of intubation between the two groups(P>0.05);the intubation time and operation time of the needle knife group were shorter than those of the arcuate knife group,and the differences were statistically significant(P<0.05).The treatment cost of the needle knife group was less than that of the arcuate knife group,and the difference was statistically significant(P<0.05);the hospitalization days of the needle knife group was shorter than that of the arcuate knife group,but the difference was not statistically significant(P>0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Needle knife fenestration is effective in AOSC patients with difficult intubation during ERCP,which is worthy promoting.
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