打破年龄障碍:ERCP在老年患者的疗效
Zhuang Li1, Zhenyu Qiao1, Wenfei Wang1
1Department of general surgery, The Chinese People's Armed Police Forces Anhui Provincial Corps Hospital, 78 Changfeng Road, Luyang District, Hefei, 230041, China.
BMC surgery
|August 7, 2025
概括
治疗性内镜逆行性胆血管细胞造影 (ERCP) 对于患有胆固醇胆病的老年患者来说是安全有效的. 这种手术提供了良好的结果和较低的并发症率,使其成为这个人口群的首选治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 老年医学 老年医学
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 老年患者 (≥75岁) 对医疗程序提出了独特的挑战.
- 在这个人群中评估治疗性内镜逆行胆血管细胞造影 (ERCP) 的安全性和有效性至关重要.
研究的目的:
- 评估ERCP在75岁及以上患者的疗效和安全性.
- 为了比较接受ERCP的老年和年轻患者之间的临床结果和并发症率.
主要方法:
- 对接受ERCP的723名患者的回顾性分析.
- 1:1的倾向分数匹配创造了152名老年患者 (≥75岁) 和152名对照患者 (<75岁) 的平衡队列.
- 并发症,手术成功,并发症,生活质量和复发率的比较.
主要成果:
- 与对照组相比,老年患者的并发症患病率较高,但胆管结石治疗成功率 (95.39%) 与胆管结石治疗成功率相似.
- 在老年人 (11.84%) 和对照组 (18.42%) 之间,术后并发症的发生率相似.
- 老年患者报告ERCP后的生活质量明显改善,长期复发率没有显著差异.
结论:
- 治疗ERCP是一种安全有效的治疗老年患者胆固醇胆病的方法.
- 在这个年龄组中,该程序与低并发症率和积极的临床结果有关.
- 对于被诊断患有胆道结石的老年人来说,ERCP应被视为主要的治疗选择.
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