摘要
[目的]探讨老年急性梗阻性化脓性胆管炎（AOSC）患者的临床特点以及治疗方法的合理选择。[方法]对2010年1月至2012年1月本院收治的86例（68～90岁）AOSC的老年患者的临床资料进行回顾性分析。[结果]86例患者具有典型胆绞痛的39例，仅占45．3％，患者多合并心脑血管等其他疾病。内窥镜联合腹腔镜治疗53例，治愈47例（88．7％），开腹手术治疗33例，治愈17例（51．5％），内窥镜联合腹腔镜治愈率显著高于开腹手术（P〈0．05），且患者黄疸消退时间、白细胞恢复时间、腹痛消失时间显著短于开腹手术组（P〈0.05）。[结论]老年AOSC临床表现不典型，病情进展迅速，易于恶化，治疗上应适时掌握手术时机，选择适合的手术方式。
[Objective]To explore the clinical characteristics of elderly patients with acute obstructive sup- purative cholangitis（AOSC） and reasonable choice of the treatment methods, [Methods]Clinical data of 86 eld- erly patients with AOSC in our hospital from Jan. 2010 to Jan. 2012 were retrospectively analyzed. [Results] In 80 patients, 39 patients（45.3%） were typical biliary colic. Patients were mainly complicated with other diseases such as cardiac and cerebral vascular diseases. The 47 patients（88.7%） were cured by endoscopic surgery, and 17 patients（51.5%） were cured by open operation. The curative rate of endoscopy was higher than that of open operation（ P 〈0.05）. The jaundice regression rate, the recovery time of leucocytes and abdomi- nal pain regression time in endoscopy group were significantly higher than those in open operation group（ P 〈0.05）. [Conclusion] Elderly patients with AOSC have non-typical clinical manifestations, and easy to be worse. The operation time should be timely mastered, and suitable surgical methods should be chosen in clinical practice.
出处
《医学临床研究》
CAS
2012年第12期2377-2379,共3页
Journal of Clinical Research
