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目的：评价内镜下胆道塑料支架置入术治疗高龄胆总管结石患者的价值。方法回顾性分析2011年1月~2013年12月于我：行内镜下胆道塑料支架置入术的30例高龄胆总管结石患者(72~91岁)的临床资料。结果本组30例患者中，3个月后第2次ERCP检查时发现6例结石消失；7例结石明显变小，经网篮或气囊顺利取出；7例结石无明显变化，行更换塑料支架治疗，3个月后再次行ERCP检查，根据结石变化情况，决定行取石或更换塑料支架治疗。经平均2.5次内镜下治疗，86.6%患者结石取净。随访时间8~40个月，失访2例。未发生与ERCP或留置支架相关的严重并发症。术后支架脱落者1例，支架堵塞者3例，分别给予更换支架治疗。结论内镜下胆道塑料支架置入术是治疗高龄胆总管结石患者安全、有效并且微创的方法。“,”Objective To evaluate the ef icacy of plastic stents in the management of common bile duct (CBD)stones in elderly patients. Methods Between January 2011 and December 2013, ERBD was performed in 30 elderly patients (72 to 91 years) admit ed our centre for common bile duct (CBD)stones. The clinical data about therapies and recovery of the patients was recorded and analyzed. Results In 11 of the 30 patients,ERCP 3 months after stent placement revealed no stones in the CBD.In 6of the 30 patients,repeat ERCP revealed that the stones became smal er and extracted by using baloons or baskets.7patients continued to have large stones at the second ERCP treatment,then replacement of a new stent with the same style and folow-up throught uhrasonography were performed.Again after 3 months ERCP examination, according to the calculus changes, decided to extracte stone or replace the plastic stents.86.6%CBD stones were eventualy cleared through average 2.5 times endoscopic treatment.The mean fol ow-up period was 21 months (range, 8~40 months),lost 2 cases.There were no severe complications related to ERCP or stent placement. 1cases of stent loss, 2 cases of stent clogging, stent replacement were given.Conclusion Placement of plastic biliary stents is a safe, ef ective and minimal y invasive therapeutic method in the treatment of CBD stones in elderly patients.