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目的:总结和分析老年急性梗阻性化脓性胆管炎的治疗情况,以期提高临床治疗效果。方法:统计分析并比较我院实施内镜和介入治疗技术治疗老年急性脑梗阻性化脓性胆管炎前(A组)后(B组)5年的患者治愈、病死情况和并发症发生情况。结果:A组75例中急诊手术率70.67%,治愈率86.67%,病死率13.33%,并发症发生率30.67%;B组100例中急诊手术率21.00%,治愈率96.00%,病死率4.00%,并发症发生率13.00%;B组急诊手术率以及并发症发生率均低于A组,治愈率明显高于A组,两组在急诊手术率、治愈率方面差异显著(P<0.05)。结论:老年急性梗阻性化脓性胆管炎病情进展迅速,应积极进行以手术为主的治疗解除梗阻,PDCD、ERCP以及鼻胆管引流等治疗措施能降低病死率,改善预后。
Objective: To summarize and analyze the treatment of acute obstructive suppurative cholangitis in the elderly in order to improve the clinical effect. Methods: The cure, death and complication of patients after 5 years of treatment of senile acute obstructive suppurative cholangitis (group A) with endoscopy and interventional therapy were statistically analyzed and compared. Results: In group A, the emergency operation rate was 70.67% in 75 cases, the cure rate was 86.67%, the case fatality rate was 13.33% and the complication rate was 30.67%. In group B, the emergency operation rate was 21.00%, the cure rate was 96.00% and the case fatality rate was 4.00% , And the complication rate was 13.00%. The rate of emergency operation and complication in group B were lower than that in group A, and the cure rate was significantly higher in group B than in group A (P <0.05). Conclusion: The progress of acute obstructive suppurative cholangitis in the elderly is progressing rapidly. Surgical treatment-based obstruction should be actively carried out. PDCD, ERCP and nasobiliary drainage can reduce mortality and improve prognosis.