高龄急性重症胆管炎96例外科治疗体会
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【摘要】目的探讨高龄急性重症胆管炎(ACST)的外科治疗方法及疗效。方法将2009年3月至2010年6月我院收治的96例老年重症胆管炎患者按自愿原则分为3组,其中开腹组35例、内镜组33例和保守治疗组28例。观察3组治疗病例的病死率和治愈率,并进行统计学检验。结果开腹组、内镜治疗组的治愈率均高于保守治疗组。全组病死率9.38%,其中保守治疗组为17.86%,开腹组为8.57%,内镜治疗组为3.03%,差异有统计学意义(P<0.05)。结论老年ACST患者并发症多,病死率高。早期解除梗阻、充分引流胆道是治疗的关键。内镜治疗操作简便且安全有效,值得临床推广。
【关键词】 急性重症胆管炎高龄内镜治疗手术治疗
【中图分类号】 R657.4【文献标识码】 A【文章编号】 1674-0742(2011)02(c)-0008-02
【Abstract】 ObjectiveTo review the surgical therapeutic method and curative in geronitism severe acute cholangitis patients. MethodsIn Mar 2009 to June 2010,we treated 96 geronitism severe acute eholangitis patients.35 cases were operated,33 cases were used endoscope.28 eases were expectant treated.The rate of fatality and recovery in those three groups were statisticly analyzed.ResultsThe recovery rate in operation and endoscope groups were higher than conservative group.The average fatality rate was 9.38%,8.57%、3.03%and 17.86% diferently,the diferencewas statisticly significant.ConclusionThe complication in geronitism severe acute eholangitis patient are many and fatality rate is high ......
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