目的观察内镜治疗老年急性重症胆管炎的临床效果,探讨手术治疗老年急性重症胆管炎的最佳方案。方法选择老年急性重症胆管炎患者52例,分为内镜组和常规组,内镜组采取内镜治疗,常规组采取开腹手术治疗,比较两组患者治疗后的临床效果。结果内镜组患者治疗后的临床效果显著优于对照组患者的临床效果,组间比较差异具有统计学意义(P<0.05)。结论外科手术治疗老年ACST患者时,应首选内镜治疗的方式,可提高临床疗效。
Objective To observe the clinical effect of endoscopic treatment in the elderly patients with acute cholangitis of severe type,and research the best solution to treating the elderly patients with acute cholangitis of severe type. Method 52 elderly patients with ACST were enrolled and divided into the endoscopic group that were tread by endoscope and the conventional group that were treated with open surgery. Clinical effects after operation were compared between the two groups. Results Clinical effects in the endoscopic group were superior to those in the conventional group,and the differences were all with statistical significance ( P < 0. 05) . Conclusion Endoscopic treatment is an optional choice in the treatment of acute cholangitis of severe type in the elderly,for it has a better clinical effect than the conventional surgery.