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由于胆总管结石引起的重症急性胆管炎,可引起一定的并发症和死亡率。最近的研究提示,急诊经内镜引流治疗这种情况,能够改善病人的治疗结果。为了确定这一方法作为早期处理的效果,作者进行前瞻性研究。病人和方法1987年11月至1991年6月对由于总胆管结石引起的重症急性胆管炎82例,随机分为2组:①组进行外科手术胆管减压治疗者41例,②组行内镜胆管引流减压治疗者41例。两组病人均给予相同的后续处理。在对住院死亡率的分析时,将经内镜胆管引流,其它临床和实验结果考虑在内,用线性对比分析确定预后的决定因素。
Due to common bile duct stones caused by severe acute cholangitis, can cause some complications and mortality. Recent research suggests that emergency treatment of endoscopic drainage may improve patient outcomes. To determine the efficacy of this approach as an early treatment, the authors undertook a prospective study. Patients and Methods From November 1987 to June 1991, 82 patients with severe acute cholangitis caused by total bile duct stones were randomly divided into 2 groups: ① group of 41 patients undergoing surgical bile duct decompression, ② group of endoscopic Biliary drainage and decompression treatment in 41 cases. Two groups of patients were given the same follow-up treatment. In the analysis of in-hospital mortality, endoscopic biliary drainage was taken into account, and other clinical and experimental results were taken into account and linear regression analysis was used to determine the prognostic determinants.