治疗性ERCP在78例高龄人群中的临床研究

目的高龄人群(≥70岁)行治疗性逆行胰胆管造影(ERCP)的疗效观察。方法对78例高龄胰胆管疾病患者行治疗性ERCP,分析诊治经过及并发症的处理。结果 78例患者中成功行治疗性ERCP 74例,其中胆总管结石52例,行十二指肠乳头括约肌切开术(EST)取石40例,行胆管支架引流术(ERBD)8例(3～6个月再次行ERCP取石治疗),行鼻胆管引流(ENBD)4例;胰胆肿瘤18例,均行ERBD后病情减轻;十二指肠乳头炎症4例,行EST后治愈。术后6例患者出现高淀粉酶血症,2例出现ERCP相关胰腺炎,2例合并胆管炎,1例发生小穿孔。结论 ERCP对高龄患者治疗安全有效。

Clinical research of therapeutic endoscopic retrograde cholangiopancreatography for elderly patients in 78 cases

Objective To investigate the efficacy of therapeutic ERCP for elderly patients.Metheds 78 patients who underwent therapeutic ERCP were studied,diagnosis and treatment of complications were analyzed.Results Therapeutic ERCP was accomplished in 74 of 78 cases.There were 52 cases with common bileduct stones,40 patients underwent endoscopic sphincterotomy(EST),8 patients underwent endoscopic retrograde biliary drainage(ERBD)(3~6 months ERCP stone treatment again),4 patients underwent endoscopic nasobiliary drainage(ENBD);18 patients with pancreaticobillary tumor relieved through ERBD;4 patients with duodenal papilla inflammation were cured through EST.Post-procedural complications developed in 6 cases with hyperamylasemia,2 cases with pancreatitis,2 cases with cholangitis,1 case with little perforation.Conclusion ERCP is a safe and effective intervention method in elderly patients.