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目的探讨急诊内镜手术治疗急性梗阻性化脓性胆管炎的临床效果。方法选择80例急性梗阻性化脓性胆管炎(AOSC)患者,随机分为观察组(急诊内镜手术治疗)和对照组(外科手术治疗),对两组治疗效果进行分析比较。结果与对照组的治愈率相比(85.0%),观察组的治愈率明显增高(92.5%),差异有统计学意义(P<0.05)。与对照组的病死率相比(15.0%),观察组的病死率明显减少(0.0%),差异有统计学意义(P<0.05)。结论急诊内镜手术治疗AOSC具有微创性、操作简单、术后恢复快、术后并发症少等优点,尤其适用于老年及体质较弱、基础疾病较多的患者。
Objective To investigate the clinical effect of emergency endoscopic surgery for acute obstructive suppurative cholangitis. Methods Eighty patients with acute obstructive suppurative cholangitis (AOSC) were selected and randomly divided into observation group (emergency endoscopic surgery) and control group (surgical treatment). The therapeutic effects were compared between the two groups. Results Compared with the control group (85.0%), the cure rate of the observation group was significantly higher (92.5%), the difference was statistically significant (P <0.05). Compared with the control group (15.0%), the case fatality rate was significantly reduced (0.0%), the difference was statistically significant (P <0.05). Conclusions AOSC with minimal invasiveness, simple operation, quick recovery after operation, and few postoperative complications, especially for the elderly and the patients with weaker constitution and more underlying diseases.